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1093566176
SHAUNTA RUSSELL
GREENVILLE, NC
NPI
1093566176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
SHAUNTA RUSSELL
118 OAKMONT DR
GREENVILLE, NC 27858-5936
Phone number: 855-223-7123
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Mailing Address
SHAUNTA RUSSELL
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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