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1639778590
CARLA RUSSELL
COVINGTON, WA
NPI
1639778590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
CARLA RUSSELL
27023 164TH AVE SE
COVINGTON, WA 98042-8241
Phone number: 253-639-7146
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Mailing Address
CARLA RUSSELL
2824 F ST SE # 2824
AUBURN, WA 98002-7559
Phone number:
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