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1326374117
PAUL RUSSELL ELLISON
ST LOUIS PARK, MN
NPI
1326374117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP6366)
Enumeration Date
2009-10-28
Last Update Date
2019-03-18
Business Address
Dr. PAUL RUSSELL ELLISON PsyD, LP
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Phone number: 612-925-6033
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Mailing Address
Dr. PAUL RUSSELL ELLISON PsyD, LP
4240 PARK GLEN RD
ST LOUIS PARK, MN 55416-5427
Phone number: 612-925-6033
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