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1679855712
DOMINIQUE M RUSSELMAN
SAINT HELENS, OR
NPI
1679855712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-14
Last Update Date
2011-09-14
Business Address
-- DOMINIQUE M RUSSELMAN
271 COLUMBIA BLVD
SAINT HELENS, OR 97051-2021
Phone number: 503-397-0391
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Mailing Address
-- DOMINIQUE M RUSSELMAN
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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