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1679349765
ROSLYNN PERTRISE RUSSELL
FRESNO, CA
NPI
1679349765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 34682)
Enumeration Date
2023-11-29
Last Update Date
2024-03-07
Business Address
Miss ROSLYNN PERTRISE RUSSELL PT 34682
496 S BARTON AVE
FRESNO, CA 93702-2985
Phone number: 559-860-4422
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Mailing Address
Miss ROSLYNN PERTRISE RUSSELL PT 34682
3433 W SHAW AVE STE 108
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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