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1265746093
MARY BETH RUSSO
RALEIGH, NC
NPI
1265746093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 7597)
Enumeration Date
2010-08-04
Last Update Date
2011-06-23
Business Address
Mrs. MARY BETH RUSSO MS, OTR/L
4201 LAKE BOONE TRL SUITE 4
RALEIGH, NC 27607-7512
Phone number: 919-781-4434
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Mailing Address
Mrs. MARY BETH RUSSO MS, OTR/L
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607-7511
Phone number: 919-781-4434
Copy
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