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1528187796
AMANDA RUSSELL
COMMERCE, CA
NPI
1528187796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
AMANDA RUSSELL
6055 E WASHINGTON BLVD
COMMERCE, CA 90040-2418
Phone number: 323-346-0960
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Mailing Address
AMANDA RUSSELL
431 S ELM DR
BEVERLY HILLS, CA 90212-4507
Phone number: 310-553-6196
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