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1164680930
RENITA YVETTE RUSSELL
LANCASTER, CA
NPI
1164680930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-05-29
Last Update Date
2008-06-05
Business Address
-- RENITA YVETTE RUSSELL
921 W AVENUE J SUITE C
LANCASTER, CA 93534-3443
Phone number: 661-949-0131
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Mailing Address
-- RENITA YVETTE RUSSELL
40944 KNOLL DR
PALMDALE, CA 93551-5627
Phone number: 661-400-3551
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