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1427644137
ALEXANDER RUSSELL
SALT LAKE CITY, UT
NPI
1427644137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
ALEXANDER RUSSELL
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
ALEXANDER RUSSELL
1595 N MANDALAY RD
SALT LAKE CITY, UT 84116-4130
Phone number: 816-785-3411
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