Individual
JAMES RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 S VULTURE MINE RD, WICKENBURG, AZ 85390-3145
(928) 684-6600
(928) 684-6628
Mailing address
40 W YAVAPAI ST, WICKENBURG, AZ 85390-3201
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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