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1164162392
TERRISA A RUSSELL
FORT LAUDERDALE, FL
NPI
1164162392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
TERRISA A RUSSELL
5420 NW 33RD AVE
FORT LAUDERDALE, FL 33309-6348
Phone number: 855-832-6727
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Mailing Address
TERRISA A RUSSELL
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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