Individual
JAMIE LYNN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6001 STATE HIGHWAY 317, B, BELTON, TX 76513-5464
(918) 284-6184
Mailing address
8332 SADDLE BROOK DR UNIT B, TEMPLE, TX 76502-5654
(918) 284-6184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12902
TX
Other
Enumeration date
01/27/2014
Last updated
04/08/2015
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