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1699423897
RUSSELL LEE FAYSON
SAGINAW, MI
NPI
1699423897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI 175-092-0740)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
RUSSELL LEE FAYSON
5451 HAMPTON PL
SAGINAW, MI 48604-9284
Phone number: 989-493-7453
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Mailing Address
RUSSELL LEE FAYSON
5451 HAMPTON PL
SAGINAW, MI 48604-9284
Phone number: 989-493-7453
Copy
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