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1467657767
SANDRA GERALDINE RUSSO
LONG BEACH, CA
NPI
1467657767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1006X Dietitian, Registered Nutrition, Metabolic
(Licence: CA 838417)
Enumeration Date
2007-06-18
Last Update Date
2008-08-26
Business Address
SANDRA GERALDINE RUSSO RD
2925 PALO VERDE AVE
LONG BEACH, CA 90815-1552
Phone number: 562-429-2473
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Mailing Address
SANDRA GERALDINE RUSSO RD
2925 PALO VERDE AVE
LONG BEACH, CA 90815-1552
Phone number: 562-429-2473
Copy
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