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1760053102
ANGELA RUSSELL
GREENWOOD, IN
NPI
1760053102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-21-174845)
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
ANGELA RUSSELL RBT
21 S PARK BLVD STE 21
GREENWOOD, IN 46143-8838
Phone number: 317-449-2104
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Mailing Address
ANGELA RUSSELL RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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