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Individual

DR. DANIEL C RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
268 MAIN ST, PLEASANTON, CA 94566-7323
(925) 417-2225
(925) 417-2232
Mailing address
268 MAIN ST, PLEASANTON, CA 94566-7323
(925) 417-2225
(925) 417-2232

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
28020
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
651208788
TAX ID
CA
Enumeration date
07/28/2006
Last updated
11/09/2009
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