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1689922692
RUSSELL ATKINS
SANTA ROSA, CA
NPI
1689922692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-22
Last Update Date
2012-08-22
Business Address
-- RUSSELL ATKINS
2400 COUNTY CENTER DR SUITE B
SANTA ROSA, CA 95403-3004
Phone number: 707-566-0170
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Mailing Address
-- RUSSELL ATKINS
2400 COUNTY CENTER DR SUITE B
SANTA ROSA, CA 95403-3004
Phone number: 707-566-0170
Copy
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