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1891745097
RUSSELL J. TREPANIER
LA JOLLA, CA
NPI
1891745097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15917)
Enumeration Date
2006-05-11
Last Update Date
2017-11-16
Business Address
RUSSELL J. TREPANIER P.A.-C.
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-554-8663
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Mailing Address
RUSSELL J. TREPANIER P.A.-C.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-554-9100
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