MARK RUSSEL

ISSAQUAH, WA
NPI1043565377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: WA  LL00002826)
Enumeration Date2012-07-24
Last Update Date2012-07-24
Business Address
MARK RUSSEL
319 NW DOGWOOD ST
ISSAQUAH, WA 98027-3216
Phone number: 425-373-1315
Mailing Address
MARK RUSSEL
319 NW DOGWOOD ST
ISSAQUAH, WA 98027-3216
Phone number: 425-373-1315
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