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1154881712
LACEY ANN RUSS
YUBA CITY, CA
NPI
1154881712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
LACEY ANN RUSS
471 CENTURY PARK DR STE B
YUBA CITY, CA 95991-5771
Phone number: 530-443-9149
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Mailing Address
LACEY ANN RUSS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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