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1972905081
PAMELA RUSSELL
ALTADENA, CA
NPI
1972905081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
-- PAMELA RUSSELL
754 DEODARA DR
ALTADENA, CA 91001-2310
Phone number: 626-398-0149
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Mailing Address
-- PAMELA RUSSELL
754 DEODARA DR
ALTADENA, CA 91001-2310
Phone number: 626-398-0149
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