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1124578000
SHARON RUSSO
KISSIMMEE, FL
NPI
1124578000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA#26536)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- SHARON RUSSO
311 W BASS ST
KISSIMMEE, FL 34741-5011
Phone number: 407-624-4688
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Mailing Address
-- SHARON RUSSO
311 W BASS ST
KISSIMMEE, FL 34741-5011
Phone number: 407-624-4688
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