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1164734695
SHANA M RUSS
GENEVA, NY
NPI
1164734695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 336385)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
-- SHANA M RUSS FNP
196 NORTH ST
GENEVA, NY 14456-1651
Phone number: 315-787-4500
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Mailing Address
-- SHANA M RUSS FNP
196 NORTH ST
GENEVA, NY 14456-1651
Phone number: 315-787-4500
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