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1336889864
RUSSELL CITIZEN
LOS ANGELES, CA
NPI
1336889864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
RUSSELL CITIZEN
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
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Mailing Address
RUSSELL CITIZEN
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
Copy
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