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1114903218
JOSEPH A RUSSO
SOUTH PORTLAND, ME
NPI
1114903218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ME OPT1037)
Enumeration Date
2005-12-20
Last Update Date
2022-06-29
Business Address
Dr. JOSEPH A RUSSO O.D.
364 MAINE MALL RD STE F128
SOUTH PORTLAND, ME 04106-3206
Phone number: 207-383-3456
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Mailing Address
Dr. JOSEPH A RUSSO O.D.
364 MAINE MALL RD STE F128
SOUTH PORTLAND, ME 04106-3206
Phone number: 207-383-3456
Copy
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