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1346256369
RUSSELL E. CONSIGLIO
SACRAMENTO, CA
NPI
1346256369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA PA10894)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- RUSSELL E. CONSIGLIO P.A.
3160 FOLSOM BLVD
SACRAMENTO, CA 95816-5219
Phone number: 916-733-5336
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Mailing Address
-- RUSSELL E. CONSIGLIO P.A.
2914 58TH ST
SACRAMENTO, CA 95817-1741
Phone number:
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