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1790549988
JOHNNETTA RUSSELL
BALTIMORE, MD
NPI
1790549988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
JOHNNETTA RUSSELL
400 E PRATT ST FL 8
BALTIMORE, MD 21202-3180
Phone number: 833-599-2560
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Mailing Address
JOHNNETTA RUSSELL
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 833-599-2560
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