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1730268236
ROBERT T RUSSELL
SANTA ANA, CA
NPI
1730268236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC30464)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
-- ROBERT T RUSSELL MFT
405 W 5TH ST STE. 590
SANTA ANA, CA 92701-4519
Phone number: 714-834-5015
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Mailing Address
-- ROBERT T RUSSELL MFT
405 W 5TH ST STE. 590
SANTA ANA, CA 92701-4519
Phone number: 714-834-5015
Copy
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