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1700375862
RUSSELL SHANE FRAUTSCHI
SANTA ROSA, CA
NPI
1700375862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: CA A195525)
Enumeration Date
2018-05-04
Last Update Date
2024-07-23
Business Address
DR. RUSSELL SHANE FRAUTSCHI MD
4625 QUIGG DR # 2
SANTA ROSA, CA 95409-5377
Phone number: 707-537-2111
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Mailing Address
DR. RUSSELL SHANE FRAUTSCHI MD
4625 QUIGG DR # 2
SANTA ROSA, CA 95409-5377
Phone number: 707-537-2111
Copy
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