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1922708080
LYSAH RUSSELL
MONROVIA, CA
NPI
1922708080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
LYSAH RUSSELL
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
LYSAH RUSSELL
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 401-692-0482
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