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1265737563
MICHAEL J RUSSO
NEWPORT BEACH, CA
NPI
1265737563
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Other Name
MIKE J RUSSO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 34635)
Enumeration Date
2011-01-18
Last Update Date
2020-03-27
Business Address
MICHAEL J RUSSO PT
20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA 92660-1741
Phone number: 949-274-9551
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Mailing Address
MICHAEL J RUSSO PT
20301 SW ACACIA ST STE 150
NEWPORT BEACH, CA 92660-1741
Phone number: 949-274-9551
Copy
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