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1457061541
ABDEL RUSSELL
ANCHORAGE, AK
NPI
1457061541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-11-29
Last Update Date
2023-06-27
Business Address
ABDEL RUSSELL
2600 CORDOVA ST STE 101
ANCHORAGE, AK 99503-2745
Phone number: 907-279-9640
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Mailing Address
ABDEL RUSSELL
2600 CORDOVA ST STE 101
ANCHORAGE, AK 99503-2745
Phone number: 907-279-9640
Copy
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