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1831547694
LUCAS RUSSELL
OROVILLE, CA
NPI
1831547694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
-- LUCAS RUSSELL
42 COUNTY CENTER DR
OROVILLE, CA 95965-3335
Phone number: 530-538-6341
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Mailing Address
-- LUCAS RUSSELL
42 COUNTY CENTER DR
OROVILLE, CA 95965-3335
Phone number:
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