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1467691071
TAMARA RUSSELL
SUMTER, SC
NPI
1467691071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: SC 0-09-3568)
Enumeration Date
2009-02-05
Last Update Date
2016-02-03
Business Address
-- TAMARA RUSSELL
2580 LINDO COURT
SUMTER, SC 29154
Phone number: 803-905-4427
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Mailing Address
-- TAMARA RUSSELL
PO BOX 51322
BOWLING GREEN, KY 42102-5622
Phone number: 270-777-9283
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