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1124782503
CHARLY ANN RUSSELL
SAN ANTONIO, TX
NPI
1124782503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
CHARLY ANN RUSSELL BT
835 PROTON RD STE 105
SAN ANTONIO, TX 78258-4203
Phone number: 210-610-9175
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Mailing Address
CHARLY ANN RUSSELL BT
835 PROTON RD STE 105
SAN ANTONIO, TX 78258-4203
Phone number: 210-610-9175
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