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1316619901
AMY GAUCK RUSSO
AUSTIN, TX
NPI
1316619901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1052618)
Enumeration Date
2021-10-01
Last Update Date
2022-07-25
Business Address
AMY GAUCK RUSSO FNP
1301 W 38TH ST STE 200
AUSTIN, TX 78705-1010
Phone number: 512-477-5905
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Mailing Address
AMY GAUCK RUSSO FNP
8240 N MOPAC EXPY STE 100
AUSTIN, TX 78759-8869
Phone number: 512-687-1970
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