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1093236945
CORRINE M RUSSO
COLUMBIA, MD
NPI
1093236945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-06-30
Last Update Date
2018-07-09
Business Address
MRS. CORRINE M RUSSO PA-C
8860 COLUMBIA 100 PKWY STE 400
COLUMBIA, MD 21045
Phone number: 410-964-8346
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Mailing Address
MRS. CORRINE M RUSSO PA-C
3700 COLLEGE AVE APT 402
ELLICOTT CITY, MD 21043-4641
Phone number: 410-294-7246
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