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MR. JAMES RUSSELL ANDERSON M.A., CCC/A

>> Audiologist-Hearing Aid Fitter >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1407095136

Individual Registrant:
MR. JAMES RUSSELL ANDERSON M.A., CCC/A
Gender: M
Sole Proprietor

Location and contact information for practice:
25150 HANCOCK AVE SUITE 204 MURRIETA, CA 92562-5987 US
Tel: 951-698-4148  Fax: 951-698-7411

Contact information for business:
25150 HANCOCK AVE SUITE 204 MURRIETA, CA 92562-5987 US
Tel: --  Fax: --

Registration Information:
NPI: 1407095136
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y237600000XSpeech, Language and Hearing Service Providers
Audiologist-Hearing Aid Fitter
CAAU1072

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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