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1790989093
RUSSELL EUGENE SANDERS
NEWPORT BEACH, CA
NPI
1790989093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 15863)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- RUSSELL EUGENE SANDERS
450 NEWPORT CENTER DR SUITE 650
NEWPORT BEACH, CA 92660-7610
Phone number: 949-644-5800
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Mailing Address
-- RUSSELL EUGENE SANDERS
450 NEWPORT CENTER DR SUTE 597
NEWPORT BEACH, CA 92660-7610
Phone number: 949-999-3646
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