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Individual

RUTH MOORE-RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
19855 OUTER DR, SUITE 104, DEARBORN, MI 48124-2022
(313) 274-5840
Mailing address
18086 FLEMING ST, DETROIT, MI 48234-1306
(313) 303-1930

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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