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1366704819
DAVID ELLIOTT HOWARD RUSSELL
LOMA LINDA, CA
NPI
1366704819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 139291)
Enumeration Date
2012-06-11
Last Update Date
2015-12-10
Business Address
-- DAVID ELLIOTT HOWARD RUSSELL MD
11234 ANDERSON ST LOMA LINDA UNIVERSITY HEALTH-PEDIATRICS, GENERAL
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
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Mailing Address
-- DAVID ELLIOTT HOWARD RUSSELL MD
11234 ANDERSON ST GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
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