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1548362171
DAVID LEE RUSSELL
PORTAGE, MI
NPI
1548362171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301006163)
Enumeration Date
2006-09-03
Last Update Date
2008-02-08
Business Address
Dr. DAVID LEE RUSSELL Ed.D.
8036 MOORSBRIDGE ROAD SUITE #2
PORTAGE, MI 49024-4417
Phone number: 269-327-1438
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Mailing Address
Dr. DAVID LEE RUSSELL Ed.D.
PO BOX 2585
PORTAGE, MI 49081-2585
Phone number: 269-381-0150
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