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1679948582
RICHARD RUSSELL
ARCADIA, CA
NPI
1679948582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-03
Last Update Date
2018-09-25
Business Address
RICHARD RUSSELL
800 S SANTA ANITA AVE
ARCADIA, CA 91006
Phone number: 323-290-4367
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Mailing Address
RICHARD RUSSELL
1395 E ORANGE GROVE BLVD
PASADENA, CA 91104-3039
Phone number:
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