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1356128029
LISA RUSSO PETTIGREW
CRESTLINE, CA
NPI
1356128029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
102L00000X Psychoanalyst
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-09-14
Last Update Date
2025-02-06
Business Address
LISA RUSSO PETTIGREW RSMT, PhD. candidate
340 S STATE HIGHWAY 138
CRESTLINE, CA 92325-9153
Phone number: 909-336-3330
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Mailing Address
LISA RUSSO PETTIGREW RSMT, PhD. candidate
PO BOX 6300
CRESTLINE, CA 92325-6300
Phone number: 909-336-3330
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