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1780973172
GLEN KENNETH RUSSELL
LOS ANGELES, CA
NPI
1780973172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN221980)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
-- GLEN KENNETH RUSSELL LVN
422 S.MARIPOSA 202
LOS ANGELES, CA 90020
Phone number: 213-531-6325
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Mailing Address
-- GLEN KENNETH RUSSELL LVN
422 S.MARIPOSA 202
LOS ANGELES, CA 90020
Phone number: 213-531-6325
Copy
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