PAUL ROBERT RUSSO

SAN DIEGO, CA
NPI1164465753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP10524)
Enumeration Date2006-06-13
Last Update Date2007-07-09
Business Address
Mr. PAUL ROBERT RUSSO FNP
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-8109
Mailing Address
Mr. PAUL ROBERT RUSSO FNP
PO BOX 130192
CARLSBAD, CA 92013-0192
Phone number: 760-918-0980
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