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1386724656
SCOTT ALFONSO RUSSELL
TORRANCE, CA
NPI
1386724656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT22163)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. SCOTT ALFONSO RUSSELL
23560 CRENSHAW BLVD STE 103
TORRANCE, CA 90505-5233
Phone number: 310-784-2366
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Mailing Address
Mr. SCOTT ALFONSO RUSSELL
23560 CRENSHAW BLVD STE 103
TORRANCE, CA 90505-5233
Phone number: 310-784-2366
Copy
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