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1154824944
JOE RUSCONI
SACRAMENTO, CA
NPI
1154824944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-03-17
Last Update Date
2018-03-17
Business Address
JOE RUSCONI
4800 BROADWAY STE 100
SACRAMENTO, CA 95820-1541
Phone number: 916-874-9623
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Mailing Address
JOE RUSCONI
1161 STAR GAZER LN
PLACERVILLE, CA 95667-9289
Phone number: 530-622-1685
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