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1982089413
SASHA RUSSELL
STOCKTON, CA
NPI
1982089413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 290356)
Enumeration Date
2015-07-27
Last Update Date
2015-07-27
Business Address
-- SASHA RUSSELL
718 BEELER ST
STOCKTON, CA 95204-3542
Phone number: 209-915-9574
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Mailing Address
-- SASHA RUSSELL
718 BEELER ST
STOCKTON, CA 95204-3542
Phone number:
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