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1841420304
JUSTIN RUSSELL
CARMICHAEL, CA
NPI
1841420304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-07-19
Last Update Date
2009-07-19
Business Address
-- JUSTIN RUSSELL
6147 SUTTER AVE
CARMICHAEL, CA 95608-2738
Phone number: 916-971-7640
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Mailing Address
-- JUSTIN RUSSELL
6147 SUTTER AVE
CARMICHAEL, CA 95608-2738
Phone number:
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