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1730119074
RUSSELL SEAN PETRIE
NEWPORT BEACH, CA
NPI
1730119074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: CA G85402)
Enumeration Date
2006-07-03
Last Update Date
2020-02-17
Business Address
RUSSELL SEAN PETRIE M.D.
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660-7901
Phone number: 949-722-7038
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Mailing Address
RUSSELL SEAN PETRIE M.D.
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660-7901
Phone number: 949-722-7038
Copy
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