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LA SHAWN RUSSELL

Contractor

NPI: 1194157826Individual

Specialties, Licenses & Credentials

ContractorPrimary

Contractor

Code: 171W00000X

Contact & Hours

Address
3503 CROMWELL CT
PERRIS, CA 92571

Quick Facts

NPI
1194157826
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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