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1427533256
RUSSELL POWER
VISTA, CA
NPI
1427533256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
MR. RUSSELL POWER
2260 WATSON WAY
VISTA, CA 92083-7924
Phone number: 760-599-1892
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Mailing Address
MR. RUSSELL POWER
12024 WINTERCREST DR APT 1
LAKESIDE, CA 92040-3747
Phone number: 619-334-8316
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