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1306029319
RUSSELL DEAN DAWSON
SEBASTOPOL, CA
NPI
1306029319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF # 52460)
Enumeration Date
2007-12-12
Last Update Date
2010-06-07
Business Address
RUSSELL DEAN DAWSON MFT INTERN
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-823-7300
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Mailing Address
RUSSELL DEAN DAWSON MFT INTERN
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-823-7300
Copy
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