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1104482785
RUSSELL EDAN BROWER
LAGUNA BEACH, CA
NPI
1104482785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G55747)
Enumeration Date
2019-05-19
Last Update Date
2019-05-19
Business Address
Dr. RUSSELL EDAN BROWER M.D.
639 VIRGINIA PARK DR
LAGUNA BEACH, CA 92651-1950
Phone number: 949-315-5528
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Mailing Address
Dr. RUSSELL EDAN BROWER M.D.
639 VIRGINIA PARK DR
LAGUNA BEACH, CA 92651-1950
Phone number: 949-315-5528
Copy
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