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1275062960
VENISE LORAINE RUSS
CORONA, CA
NPI
1275062960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 23081)
Enumeration Date
2017-06-07
Last Update Date
2024-12-11
Business Address
VENISE LORAINE RUSS
308 W 6TH ST STE 109
CORONA, CA 92882-3349
Phone number: 833-867-4642
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Mailing Address
VENISE LORAINE RUSS
7601 IMPERIAL HWY # 601
DOWNEY, CA 90242-3456
Phone number:
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