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1770739229
PEGGY L RUSSELL
FRESNO, CA
NPI
1770739229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-08-15
Last Update Date
2022-01-06
Business Address
Ms. PEGGY L RUSSELL
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
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Mailing Address
Ms. PEGGY L RUSSELL
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Copy
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