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1043603871
IAN RUSS
ENCINO, CA
NPI
1043603871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 7893)
Enumeration Date
2015-03-18
Last Update Date
2015-03-18
Business Address
Dr. IAN RUSS LMFT
16133 VENTURA BLVD SUITE 1235
ENCINO, CA 91436-2403
Phone number: 818-990-5740
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Mailing Address
Dr. IAN RUSS LMFT
16133 VENTURA BLVD SUITE 1235
ENCINO, CA 91436-2403
Phone number: 818-990-5740
Copy
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