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1275711459
JIM RUSSELL
SAINT LOUIS, MO
NPI
1275711459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MO 001736)
Enumeration Date
2008-02-10
Last Update Date
2016-10-22
Business Address
Dr. JIM RUSSELL Ph.D.
777 CRAIG RD STE 200
SAINT LOUIS, MO 63141-7190
Phone number: 314-963-8862
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Mailing Address
Dr. JIM RUSSELL Ph.D.
777 CRAIG RD STE 200
SAINT LOUIS, MO 63141-7190
Phone number: 314-963-8862
Copy
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