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1114099108
EVELYN RUSSO
MIAMI, FL
NPI
1114099108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA40587)
Enumeration Date
2006-11-14
Last Update Date
2016-09-09
Business Address
-- EVELYN RUSSO L.M.T.
5750 SW 42ND ST
MIAMI, FL 33155-5310
Phone number: 305-790-2300
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Mailing Address
-- EVELYN RUSSO L.M.T.
PO BOX 558075
MIAMI, FL 33255-8075
Phone number: 305-790-2300
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