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1710389770
RUSSELL E GORDON
SAN LUIS OBISPO, CA
NPI
1710389770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC51798)
Enumeration Date
2014-09-22
Last Update Date
2014-09-22
Business Address
-- RUSSELL E GORDON LMFT
569 HIGUERA ST SUITE D
SAN LUIS OBISPO, CA 93401-3861
Phone number: 805-704-2199
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Mailing Address
-- RUSSELL E GORDON LMFT
569 HIGUERA ST SUITE D
SAN LUIS OBISPO, CA 93401-3861
Phone number: 805-704-2199
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