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1851573109
RUSSELL J HOMEWOOD
MESA, AZ
NPI
1851573109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3268)
Enumeration Date
2007-11-28
Last Update Date
2014-05-16
Business Address
-- RUSSELL J HOMEWOOD DO,PLC
4540 E BASELINE RD SUITE 113
MESA, AZ 85206-4613
Phone number: 480-558-4700
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Mailing Address
-- RUSSELL J HOMEWOOD DO,PLC
PO BOX 1927
GILBERT, AZ 85299-1927
Phone number: 480-558-4700
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