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1083190854
ANDREA RUSSO
SAN DIEGO, CA
NPI
1083190854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 34290TLG)
Enumeration Date
2018-07-16
Last Update Date
2019-10-24
Business Address
ANDREA RUSSO OD
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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Mailing Address
ANDREA RUSSO OD
4353 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92122-1259
Phone number: 858-622-2165
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