Individual
JOANNE DEE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4862 STATE ROUTE 193, DORSET, OH 44032-9764
(144) 064-5343
Mailing address
4862 STATE ROUTE 193, DORSET, OH 44032-9764
(144) 064-5343
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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