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1942961719
LEE RUSSELL
GLENDALE, CA
NPI
1942961719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
LEE RUSSELL
1010 N CENTRAL AVE
GLENDALE, CA 91202-2937
Phone number: 818-241-6780
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Mailing Address
LEE RUSSELL
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-4066
Phone number: 415-909-0110
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