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1134782329
STEVEN JAMES RUSSELL
FRESNO, CA
NPI
1134782329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN703493)
Enumeration Date
2019-04-15
Last Update Date
2023-07-11
Business Address
STEVEN JAMES RUSSELL
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
STEVEN JAMES RUSSELL
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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