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1104003524
JOHN RUSSELL ATKINSON
VIENNA, WV
NPI
1104003524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WV 309)
Enumeration Date
2008-01-28
Last Update Date
2008-01-28
Business Address
Mr. JOHN RUSSELL ATKINSON ms
1007 38TH ST
VIENNA, WV 26105-2741
Phone number: 304-295-9243
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Mailing Address
Mr. JOHN RUSSELL ATKINSON ms
1007 38TH ST.
VIENNA, WV 26105-2741
Phone number: 304-295-9243
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