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1003019068
RUSSELL SHUBEN
NORTH HOLLYWOOD, CA
NPI
1003019068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA IMF53)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
-- RUSSELL SHUBEN
6801 COLDWATER CANYON AVE 1 B
NORTH HOLLYWOOD, CA 91605-5162
Phone number: 818-763-1718
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Mailing Address
-- RUSSELL SHUBEN
6801 COLDWATER CANYON AVE 1 B
NORTH HOLLYWOOD, CA 91605-5162
Phone number: 818-763-1718
Copy
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