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1851403745
RUSSELL GORDON WARD
LONG BEACH, CA
NPI
1851403745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL GORDON WARD C.P.O.
5901 E 7TH ST BLDG 150 RM V33 PROSTHETICS
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
Mr. RUSSELL GORDON WARD C.P.O.
5525 E PACIFIC COAST HWY #212
LONG BEACH, CA 90804-4445
Phone number: 562-826-8000
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