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1477045326
MATTHEW DAVID RUSSELL
GRAND FORKS, ND
NPI
1477045326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: ND L29)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
MATTHEW DAVID RUSSELL ABA
151 S 4TH ST STE 401
GRAND FORKS, ND 58201-4715
Phone number: 701-795-3000
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Mailing Address
MATTHEW DAVID RUSSELL ABA
151 S 4TH ST STE 401
GRAND FORKS, ND 58201-4715
Phone number: 701-795-3000
Copy
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