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1326352287
RUSSELL EDWARD VANCE
EVANSVILLE, IN
NPI
1326352287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IN 39000214A)
Enumeration Date
2010-08-03
Last Update Date
2010-08-03
Business Address
Dr. RUSSELL EDWARD VANCE PhD
8000 LAUDERDALE DR
EVANSVILLE, IN 47715-6238
Phone number: 812-550-0127
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Mailing Address
Dr. RUSSELL EDWARD VANCE PhD
8000 LAUDERDALE DR
EVANSVILLE, IN 47715-6238
Phone number: 812-550-0127
Copy
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