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1033450218
RUSSELL JAMES DELGADO
COVINA, CA
NPI
1033450218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF67987)
Enumeration Date
2013-03-12
Last Update Date
2016-01-19
Business Address
-- RUSSELL JAMES DELGADO
1126 N GRAND AVE STE D
COVINA, CA 91724-1552
Phone number: 626-967-1667
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Mailing Address
-- RUSSELL JAMES DELGADO
1126 N GRAND AVE STE D
COVINA, CA 91724-1552
Phone number: 626-967-1667
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