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1912547886
DANIEL RUSSELL
UKIAH, CA
NPI
1912547886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-01-08
Last Update Date
2023-10-20
Business Address
DANIEL RUSSELL
800 N STATE ST
UKIAH, CA 95482-3410
Phone number: 707-467-2010
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Mailing Address
DANIEL RUSSELL
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 077-467-2010
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