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1821157983
MICHAEL J RUSSELL
SACRAMENTO, CA
NPI
1821157983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL J RUSSELL PhD
2025 MORSE AVE
SACRAMENTO, CA 95825
Phone number: 916-973-6847
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Mailing Address
Mr. MICHAEL J RUSSELL PhD
216 F ST #76
DAVIS, CA 95616
Phone number: 530-668-8988
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