CONNIE RUSSELL

Public Health or Welfare

Active Individual
NPI: 1649630856

Practice Address

502 S CHOCTAW AVE
Wapanucka, OK 73461

Phone: (580) 937-4288

Specialties

Specialty Code Primary License
Public Health or Welfare 251K00000X Yes -

Frequently Asked Questions

NPI 1649630856 is the National Provider Identifier for CONNIE RUSSELL, a Public Health or Welfare provider located in Wapanucka, OK. This NPI was enumerated on March 1, 2016.
CONNIE RUSSELL practices at 502 S CHOCTAW AVE, Wapanucka, OK 73461.

Quick Facts

NPI
1649630856
Type
Individual
Enumerated
Mar 1, 2016
Last Updated
Mar 1, 2016

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