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1972075455
LEEANN B RUSSELL
VICTORVILLE, CA
NPI
1972075455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-21
Last Update Date
2018-12-21
Business Address
LEEANN B RUSSELL
15498 VILLAGE DR STE 2
VICTORVILLE, CA 92394-1975
Phone number: 760-493-9010
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Mailing Address
LEEANN B RUSSELL
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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