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1457555864
MARK THOMAS RUSSELL
OXNARD, CA
NPI
1457555864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A109063)
Enumeration Date
2007-06-12
Last Update Date
2013-11-19
Business Address
Dr. MARK THOMAS RUSSELL MD
1600 N ROSE AVE
OXNARD, CA 93030-3722
Phone number: 805-989-2663
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Mailing Address
Dr. MARK THOMAS RUSSELL MD
1600 N ROSE AVE
OXNARD, CA 93030-3722
Phone number: 805-989-2663
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