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1013068576
RUSSELL BRIAN NG
SACRAMENTO, CA
NPI
1013068576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 10517T)
Enumeration Date
2007-01-12
Last Update Date
2013-05-16
Business Address
Mr. RUSSELL BRIAN NG O.D.
5311 ELKHORN BLVD
SACRAMENTO, CA 95842-2526
Phone number: 916-331-1222
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Mailing Address
Mr. RUSSELL BRIAN NG O.D.
5311 ELKHORN BLVD
SACRAMENTO, CA 95842-2526
Phone number: 916-331-1222
Copy
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