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1336366921
ANGELA RUSSELL
FULLERTON, CA
NPI
1336366921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- ANGELA RUSSELL
801 E CHAPMAN AVE
FULLERTON, CA 92831-3839
Phone number: 562-572-4856
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Mailing Address
-- ANGELA RUSSELL
PO BOX 1109
LONG BEACH, CA 90801-1109
Phone number: 562-572-4856
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