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1104423466
LARS RICHARD RUSSELL
SOLDOTNA, AK
NPI
1104423466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
LARS RICHARD RUSSELL
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669-8280
Phone number: 907-262-6331
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Mailing Address
LARS RICHARD RUSSELL
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669-8280
Phone number: 907-262-6331
Copy
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