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1508255498
DAVID RUSSAK
SHERMAN OAKS, CA
NPI
1508255498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41595)
Enumeration Date
2015-01-14
Last Update Date
2022-10-25
Business Address
DAVID RUSSAK
14748 HARTSOOK ST
SHERMAN OAKS, CA 91403
Phone number: 818-309-3630
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Mailing Address
DAVID RUSSAK
250 N COLLEGE PARK DR UNIT #S33
UPLAND, CA 91786-8883
Phone number:
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