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1194157826
LA SHAWN NICHOLE RUSSELL
PERRIS, CA
NPI
1194157826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
MS. LA SHAWN NICHOLE RUSSELL
3503 CROMWELL CT
PERRIS, CA 92571-7345
Phone number: 951-943-0869
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Mailing Address
MS. LA SHAWN NICHOLE RUSSELL
3503 CROMWELL CT
PERRIS, CA 92571-7345
Phone number:
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