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1174682801
WILLIAM L RUSSELL
ANAHEIM, CA
NPI
1174682801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA10480)
Enumeration Date
2006-12-08
Last Update Date
2008-09-23
Business Address
WILLIAM L RUSSELL PA
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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Mailing Address
WILLIAM L RUSSELL PA
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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