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1568580298
WESLEY ALEXANDER RUSSELL
COMPTON, CA
NPI
1568580298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- WESLEY ALEXANDER RUSSELL BA
2010 E EL SEGUNDO BLVD
COMPTON, CA 90222-7109
Phone number: 310-637-0917
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Mailing Address
-- WESLEY ALEXANDER RUSSELL BA
11245 S BUDLONG AVE
LOS ANGELES, CA 90044-1309
Phone number: 323-755-9694
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