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1568711406
JOHN STATE RUSIN
LA JOLLA, CA
NPI
1568711406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA 39331)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
Dr. JOHN STATE RUSIN PT, DPT, CSCS
1241 PROSPECT ST APARTMENT 5
LA JOLLA, CA 92037-0000
Phone number: 716-481-0675
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Mailing Address
Dr. JOHN STATE RUSIN PT, DPT, CSCS
1241 PROSPECT ST APARTMENT 5
LA JOLLA, CA 92037
Phone number: 716-481-0675
Copy
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