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1639269400
MICHAEL JOSEPH RUSSELL
FULLERTON, CA
NPI
1639269400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 45505)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOSEPH RUSSELL M.A. MFT, Intern
211 W COMMONWEALTH AVE
FULLERTON, CA 92832-1810
Phone number: 714-447-7000
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Mailing Address
Mr. MICHAEL JOSEPH RUSSELL M.A. MFT, Intern
7353 ELLENA W UNIT 195
RANCHO CUCAMONGA, CA 91730-8383
Phone number: 626-272-4492
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