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Individual

JULIE RUSSCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
509 E OCEAN AVE, LOMPOC, CA 93436-6913
(805) 736-8818
(805) 736-9468
Mailing address
509 E OCEAN AVE, LOMPOC, CA 93436-6913
(805) 736-8818
(805) 736-9468

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4446
CA

Other

Enumeration date
11/10/2006
Last updated
07/08/2007
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