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1104205079
RUSSELL RAY EXLOS-RABER
TIFFIN, OH
NPI
1104205079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C.1400059)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
Mr. RUSSELL RAY EXLOS-RABER LPC
777 S WASHINGTON ST
TIFFIN, OH 44883-3325
Phone number: 419-448-4094
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Mailing Address
Mr. RUSSELL RAY EXLOS-RABER LPC
1313 E COLE RD
FREMONT, OH 43420-8868
Phone number: 419-307-9092
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