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Organization
GABRIEL RUSSO CHIROPRACTOR INC
Active
Organization
GABRIEL RUSSO CHIROPRACTOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL RUSSO DC (PRESIDENT)
(831) 713-5172
Entity
Organization
Contact information
Practice address
2495 OLD MIDDLEFIELD WAY, MOUNTAIN VIEW, CA 94043-2316
(831) 713-5172
Mailing address
2495 OLD MIDDLEFIELD WAY, MOUNTAIN VIEW, CA 94043-2316
(831) 713-5172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19969
CA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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