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1144428756
WILLIAM RUSSELL
ORANGE, CA
NPI
1144428756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC29703)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
-- WILLIAM RUSSELL MFT
4201 W CHAPMAN AVE
ORANGE, CA 92868-1505
Phone number: 714-748-6210
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Mailing Address
-- WILLIAM RUSSELL MFT
101 TRAFALGAR LN
SAN CLEMENTE, CA 92672-4265
Phone number: 949-492-2698
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