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1245639418
IVETTE JOSEFINA RUSSO
APO, AP
NPI
1245639418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: FL PY8970)
Enumeration Date
2014-08-13
Last Update Date
2024-09-22
Business Address
DR. IVETTE JOSEFINA RUSSO PSY.D.
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
Phone number: 315-632-0475
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Mailing Address
DR. IVETTE JOSEFINA RUSSO PSY.D.
UNIT 5142 BOX 18TH
APO, AP 96368-5142
Phone number:
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