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1912031535
BRUCE GARY RUSS
LAKE FOREST, CA
NPI
1912031535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA AC 8877)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mr. BRUCE GARY RUSS L.Ac., M.S.T.O.M.
23331 EL TORO RD SUITE 106
LAKE FOREST, CA 92630-4891
Phone number: 949-859-9696
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Mailing Address
Mr. BRUCE GARY RUSS L.Ac., M.S.T.O.M.
24112 BIRDROCK DR
LAKE FOREST, CA 92630-4403
Phone number: 949-707-5330
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