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Jarrod Russell, CNA,

NPI 1033799275 · on the registry since 2021 · sole proprietor

Practice

Address
1746 Ne 19th St
Oklahoma City, OK 73111
Phone
(405) 900-3905

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
3747P1801X
385H00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma