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1689008583
ROBERT ALAN RUSSELL
SAN LEANDRO, CA
NPI
1689008583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-08-27
Last Update Date
2017-04-03
Business Address
-- ROBERT ALAN RUSSELL
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
-- ROBERT ALAN RUSSELL
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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