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1235278342
EDWARD BAXTER RUSIN
CRYSTAL LAKE, IL
NPI
1235278342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071003078)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Dr. EDWARD BAXTER RUSIN PhD
7009 CRYSTAL SPRINGS ROAD
CRYSTAL LAKE, IL 60012-1154
Phone number: 815-455-7333
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Mailing Address
Dr. EDWARD BAXTER RUSIN PhD
7009 CRYSTAL SPRINGS ROAD
CRYSTAL LAKE, IL 60012-1154
Phone number: 815-455-7333
Copy
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