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1811668155
AUTUMN RUSSELL
COLUMBUS, GA
NPI
1811668155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-27
Last Update Date
2021-12-07
Business Address
AUTUMN RUSSELL
1110 13TH ST
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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Mailing Address
AUTUMN RUSSELL
306 N MAIN ST STE 1A
HINESVILLE, GA 31313-2562
Phone number:
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