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Individual

RUSSELL JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
3616 KILLARNEY TRL, SNELLVILLE, GA 30039-5966
(770) 982-6608
(770) 982-6608
Mailing address
3616 KILLARNEY TRL, SNELLVILLE, GA 30039-5966
(770) 982-6608
(770) 982-6608

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000161
GA

Other

Enumeration date
10/30/2007
Last updated
10/30/2007
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