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1477717577
SUSAN C RUSSELL
SPRINGFIELD, OR
NPI
1477717577
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Former Name
SUSAN C HAMMOND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-07-17
Last Update Date
2008-07-17
Business Address
MRS. SUSAN C RUSSELL
175 W B ST STE I
SPRINGFIELD, OR 97477-4575
Phone number: 541-988-1025
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Mailing Address
MRS. SUSAN C RUSSELL
PO BOX 1543
SPRINGFIELD, OR 97477-0167
Phone number: 541-988-1025
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