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1215957303
JOHN M RUSSO
GREENSBORO, NC
NPI
1215957303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 9901465)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- JOHN M RUSSO MD
2703 HENRY ST
GREENSBORO, NC 27405-3669
Phone number: 336-621-8911
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Mailing Address
-- JOHN M RUSSO MD
PO BOX 14944
GREENSBORO, NC 27415-4944
Phone number: 336-621-8911
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