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1760777569
DANE RUSSELL
AURORA, CO
NPI
1760777569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 1995)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
-- DANE RUSSELL LPC
3222 S JEBEL WAY
AURORA, CO 80013-9014
Phone number: 303-909-5692
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Mailing Address
-- DANE RUSSELL LPC
68 S MOLINE ST
AURORA, CO 80012-1274
Phone number: 303-909-5692
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