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1043700354
RUSSELL WALLACE BUTLER
SACRAMENTO, CA
NPI
1043700354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-11
Last Update Date
2022-06-01
Business Address
RUSSELL WALLACE BUTLER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-7302
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Mailing Address
RUSSELL WALLACE BUTLER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-1770
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