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1376781195
ALISUN LEE RUSSELL
REDDING, CA
NPI
1376781195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 738270)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
ALISUN LEE RUSSELL
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5200
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Mailing Address
ALISUN LEE RUSSELL
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5200
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