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1275940009
IAN JEFFREY RUSSELL
SAN DIEGO, CA
NPI
1275940009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
-- IAN JEFFREY RUSSELL
9445 FARNHAM ST. SUITE 100
SAN DIEGO, CA 92123
Phone number: 858-380-4676
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Mailing Address
-- IAN JEFFREY RUSSELL
9445 FARNHAM ST STE 100
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4676
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