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1922026533
RUSSELL J GRANT
RANCHO MIRAGE, CA
NPI
1922026533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 64150)
Enumeration Date
2006-07-18
Last Update Date
2016-02-25
Business Address
Dr. RUSSELL J GRANT M.D.
72780 COUNTRY CLUB DR SUITE B 203
RANCHO MIRAGE, CA 92270-4126
Phone number: 760-674-3847
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Mailing Address
Dr. RUSSELL J GRANT M.D.
72780 COUNTRY CLUB DR SUITE B 203
RANCHO MIRAGE, CA 92270-4126
Phone number: 760-674-3847
Copy
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