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1992967962
EVANGELINE RUSSELL
RIVERSIDE, CA
NPI
1992967962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN221803)
Enumeration Date
2008-06-30
Last Update Date
2008-06-30
Business Address
-- EVANGELINE RUSSELL LVN
3686 PACIFIC AVE
RIVERSIDE, CA 92509-1948
Phone number: 951-801-2913
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Mailing Address
-- EVANGELINE RUSSELL LVN
3686 PACIFIC AVE
RIVERSIDE, CA 92509-1948
Phone number: 951-801-2913
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