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1205954815
JOVANNA C DIRUSSO
EVERETT, WA
NPI
1205954815
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Former Name
JOVANNA C JACOBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10005167)
Enumeration Date
2007-03-26
Last Update Date
2014-07-31
Business Address
-- JOVANNA C DIRUSSO PA
1717 13TH ST STE 300
EVERETT, WA 98201-1621
Phone number: 425-297-5500
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Mailing Address
-- JOVANNA C DIRUSSO PA
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3900
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