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1154002673
DENAE DIAMOND RUSSELL
MIAMI, FL
NPI
1154002673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
DENAE DIAMOND RUSSELL CCC-SLP
12448 SW 127TH AVE FL 2
MIAMI, FL 33186-6596
Phone number: 305-225-5980
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Mailing Address
DENAE DIAMOND RUSSELL CCC-SLP
10900 SW 161ST PL
MIAMI, FL 33196-4256
Phone number: 305-878-6256
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