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1750619110
RUSSELL VANCE JENSEN
FRESNO, CA
NPI
1750619110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT 88760)
Enumeration Date
2009-11-24
Last Update Date
2016-08-03
Business Address
Mr. RUSSELL VANCE JENSEN MA, EdM, LMFT
2080 N WINERY AVE STE 101
FRESNO, CA 93703-4817
Phone number: 559-640-7077
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Mailing Address
Mr. RUSSELL VANCE JENSEN MA, EdM, LMFT
PO BOX 546
SANGER, CA 93657-0546
Phone number: 559-240-5742
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