Pennsylvania
Department of State
LARRY A RUSSELL
Nursing Home Administrator
License number
NH003238L
Date granted
06/12/1989
Date expires
01/31/1995
Class
Nursing Home Administrator
Status
Inactive
Address
JEFFERSONVILLE PA 19403
palicensing.org
ID 16915687
LAST UPDATED 2024-03-30 11:29:48 UTC
LAST UPDATED 2024-03-30 11:29:48 UTC
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