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1336733971
WILBURN RUSSELL
SPRINGFIELD, MO
NPI
1336733971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 001677)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
WILBURN RUSSELL LPC
636 W REPUBLIC RD STE G100
SPRINGFIELD, MO 65807-5811
Phone number: 417-862-8282
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Mailing Address
WILBURN RUSSELL LPC
636 W REPUBLIC RD STE G100
SPRINGFIELD, MO 65807-5811
Phone number: 417-862-8282
Copy
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