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1073944534
SUSAN RUSSO
AUSTIN, TX
NPI
1073944534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 755964)
Enumeration Date
2013-12-10
Last Update Date
2014-11-25
Business Address
-- SUSAN RUSSO CPNP-PC
1301 BARBARA JORDAN BLVD SUITE 200
AUSTIN, TX 78723-3077
Phone number: 512-628-1820
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Mailing Address
-- SUSAN RUSSO CPNP-PC
1301 BARBARA JORDAN BLVD SUITE 200
AUSTIN, TX 78723-3077
Phone number: 512-628-1820
Copy
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