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Individual
MR. JARROD DAUN RUSSELL SR.
Active
Individual
MR. JARROD DAUN RUSSELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA,
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
37V975170419
OK
376K00000X
Nurse's Aide
Primary
37V975170419
OK
385H00000X
Respite Care
37V975170419
OK
Other
Enumeration date
04/12/2021
Last updated
01/19/2022
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