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1033159652
BONNIE RUSSELL
MOSES LAKE, WA
NPI
1033159652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00053993)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- BONNIE RUSSELL BS
840 E PLUM
MOSES LAKE, WA 98837
Phone number: 509-765-9239
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Mailing Address
-- BONNIE RUSSELL BS
715 S HAWTHORNE DR
MOSES LAKE, WA 98837-1842
Phone number: 509-765-9239
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