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1770639346
TERESA M RUSSELL
SAN DIEGO, CA
NPI
1770639346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 14528)
Enumeration Date
2007-01-26
Last Update Date
2009-05-15
Business Address
-- TERESA M RUSSELL NP
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6950
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Mailing Address
-- TERESA M RUSSELL NP
3485 OLD COBBLE CT
SAN DIEGO, CA 92111-4045
Phone number: 619-532-6950
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