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Russell Rolison Mann, MA
Contractor in Flagstaff, Arizona
NPI 1851470025

Russell Rolison Mann is a Contractor based in Flagstaff, AZ. Russell Rolison Mann practices in Flagstaff, AZ and has the professional credentials of MA. The NPI Number for Russell Rolison Mann is 1851470025 and holds a License No. 3807 (Arizona).

The current practice location address for Russell Rolison Mann is 59 Pine Del St, Flagstaff, AZ and can be reached out via phone at 928-774-5669.

Location: 59 Pine Del St, Flagstaff, AZ, 86001-9603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851470025
Provider Name
Russell Rolison Mann
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
59 Pine Del St, Flagstaff, AZ, 86001-9603
Phone Number
928-774-5669
Fax Number
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
711714 01 AZ AHCCCS
3807 01 AZ AZDES PROVIDER FACILITY I
institution
Provider Business Practice Location Address Details
Address
59 Pine Del St
City
Flagstaff
State
Arizona
Zip
86001-9603
Phone Number
928-774-5669
Fax Number
person
Provider Business Mailing Address Details
Address
59 Pine Del St
City
Flagstaff
State
Arizona
Zip
86001-9603
Phone Number
928-774-5669
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
3807 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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