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1184341182
KIMBERLY RUSSELL
IRVINE, CA
NPI
1184341182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA R1423200321)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
KIMBERLY RUSSELL
135 PROMENADE
IRVINE, CA 92612-1709
Phone number: 714-501-4590
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Mailing Address
KIMBERLY RUSSELL
135 PROMENADE
IRVINE, CA 92612-1709
Phone number: 714-501-4590
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