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1013077403
RANOLPH DUANE RUSH
SANTA ROSA, CA
NPI
1013077403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: CA 23239)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Dr. RANOLPH DUANE RUSH DDS
3536 MENDOCINO AVE SUITE #330
SANTA ROSA, CA 95403-3634
Phone number: 707-545-4104
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Mailing Address
Dr. RANOLPH DUANE RUSH DDS
3536 MENDOCINO AVENUE #330
SANTA ROSA, CA 95403-3634
Phone number: 707-545-4104
Copy
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