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1578570305
ANITA JEANNE RUSSELL
TULSA, OK
NPI
1578570305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OK 632)
Enumeration Date
2006-08-02
Last Update Date
2011-10-27
Business Address
Dr. ANITA JEANNE RUSSELL Ed.D.
3314 E 51ST ST SUITE 204F
TULSA, OK 74135-3583
Phone number: 918-671-7960
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Mailing Address
Dr. ANITA JEANNE RUSSELL Ed.D.
4203 E 75TH PL
TULSA, OK 74136-6126
Phone number: 918-671-7960
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