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1538439542
LAUREN C RUSSELL
SALT LAKE CITY, UT
NPI
1538439542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-01-06
Last Update Date
2012-01-06
Business Address
Miss LAUREN C RUSSELL
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
Miss LAUREN C RUSSELL
834 HERITAGE CTR
SALT LAKE CITY, UT 84112-2012
Phone number:
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