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1407877517
RUSSELL S REVILLA
SAN MARCOS, CA
NPI
1407877517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC20363)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL S REVILLA D.C.
555 S RANCHO SANTA FE RD SUITE 200
SAN MARCOS, CA 92078-3698
Phone number: 760-736-0286
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Mailing Address
Dr. RUSSELL S REVILLA D.C.
555 S RANCHO SANTA FE RD SUITE 200
SAN MARCOS, CA 92078-3698
Phone number: 760-736-0286
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