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1659804938
RUSSELL SCOTT KACZMAR
ESCONDIDO, CA
NPI
1659804938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 292758)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- RUSSELL SCOTT KACZMAR PT, DPT
215 S HICKORY ST STE. 112
ESCONDIDO, CA 92025-4359
Phone number: 760-737-8460
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Mailing Address
-- RUSSELL SCOTT KACZMAR PT, DPT
2690 KREMEYER CIR APT. 3
CARLSBAD, CA 92008-1648
Phone number: 530-318-2967
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