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Mr. John Grover Russell, NCSP
Specialist in Casa Grande, Arizona
NPI 1619066156

John Grover Russell is a Specialist based in Casa Grande, AZ. John Grover Russell practices in Casa Grande, AZ and has the professional credentials of NCSP. The NPI Number for John Grover Russell is 1619066156 and holds a License No. (Arizona).

The current practice location address for John Grover Russell is 8188 W Bartlett Rd, Casa Grande, AZ and can be reached out via phone at 520-431-4314. You can also correspond with John Grover Russell through the mailing address at 8188 W BARTLETT RD, CASA GRANDE, AZ - 85222-7336 (mailing address contact number: 520-431-4314).

Location: 8188 W Bartlett Rd, Casa Grande, AZ, 85222-7336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619066156
Provider Name
John Grover Russell
Credential
NCSP
Provider Entity Type
Individual
Gender
Male
Address
8188 W Bartlett Rd, Casa Grande, AZ, 85222-7336
Phone Number
520-431-4314
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
584559 05 AZ
institution
Provider Business Practice Location Address Details
Address
8188 W Bartlett Rd
City
Casa Grande
State
Arizona
Zip
85222-7336
Phone Number
520-431-4314
Fax Number
person
Provider Business Mailing Address Details
Address
8188 W Bartlett Rd
City
Casa Grande
State
Arizona
Zip
85222-7336
Phone Number
520-431-4314
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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