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1912420035
JAMISHA LENETTA RUSSELL
RIVERSIDE, CA
NPI
1912420035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-20
Last Update Date
2024-03-07
Business Address
JAMISHA LENETTA RUSSELL
2085 RUSTIN AVE STE A
RIVERSIDE, CA 92507-2498
Phone number: 951-715-5040
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Mailing Address
JAMISHA LENETTA RUSSELL
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 951-715-5040
Copy
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