LISA DAWN RUSSO

GILBERT, AZ
NPI1134786726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AZ  H06294)
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
Mrs. LISA DAWN RUSSO
2855 E BLACKHAWK CT
GILBERT, AZ 85298-1003
Phone number: 480-302-1806
Mailing Address
Mrs. LISA DAWN RUSSO
2855 E BLACKHAWK CT
GILBERT, AZ 85298-1003
Phone number: 480-302-1806
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