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Individual
DR. JEFFREY ALAN RUSSELL
Active
Individual
DR. JEFFREY ALAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, AT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000060285
NULL
2255A2300X
Athletic Trainer
Primary
AT003998
OH
Other
Enumeration date
11/22/2006
Last updated
01/31/2019
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