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1861009078
BIANCA J RUSSELL
PASADENA, CA
NPI
1861009078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
BIANCA J RUSSELL
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
BIANCA J RUSSELL
815 COLORADO BLVD STE 300
LOS ANGELES, CA 90041-1744
Phone number: 323-543-2800
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