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1114176823
KENDAL CORRINE RUSSELL
FOUNTAIN VALLEY, CA
NPI
1114176823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-17
Last Update Date
2008-09-17
Business Address
Mrs. KENDAL CORRINE RUSSELL
16480 HARBOR BLVD SUITE 103
FOUNTAIN VALLEY, CA 92708-1361
Phone number: 714-418-1575
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Mailing Address
Mrs. KENDAL CORRINE RUSSELL
16480 HARBOR BLVD SUITE 103
FOUNTAIN VALLEY, CA 92708-1361
Phone number: 714-418-1575
Copy
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