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1417684010
JOHN KERCH RUSSO
SAN DIEGO, CA
NPI
1417684010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95284726)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
JOHN KERCH RUSSO RN
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number: 619-235-2600
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Mailing Address
JOHN KERCH RUSSO RN
3162 MONROE AVE APT 4
SAN DIEGO, CA 92116-4551
Phone number: 301-312-4623
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