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1740738947
IVANA RUSSO
SAN DIEGO, CA
NPI
1740738947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95101507)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- IVANA RUSSO RN
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number: 619-235-2600
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Mailing Address
-- IVANA RUSSO RN
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number:
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