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1124167051
AYANNA NICOLE RUSSELL
LOS ANGELES, CA
NPI
1124167051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN167101)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Ms. AYANNA NICOLE RUSSELL
3875 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 323-290-4356
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Mailing Address
Ms. AYANNA NICOLE RUSSELL
7391 9TH ST APT 6
BUENA PARK, CA 90621-2746
Phone number: 310-946-7979
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