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Russell Goldsby

Case Manager/Care Coordinator in Dayton, OH. Individual provider (NPI-1).

NPI number1003597147
StatusActive
Last updated in NPPESFeb 17, 2025

Details

NPI
1003597147
Entity type
Individual (NPI-1)
Name
Russell Goldsby
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2023
Certification date
Feb 17, 2025
Last updated
Feb 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Phone 318-131-7379

Mailing address

605 S Patterson Blvd
Dayton, OH 45402-2649

Other practice locations

605 S Patterson Blvd
Dayton, OH 45402-2649

Phone 937-395-4600

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