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1356069132
DAVID SCOTT RUSSO
ERIE, PA
NPI
1356069132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT030747)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
DAVID SCOTT RUSSO
2101 NAGLE RD
ERIE, PA 16510-2189
Phone number: 814-877-7078
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Mailing Address
DAVID SCOTT RUSSO
2101 NAGLE RD
ERIE, PA 16510-2189
Phone number: 814-877-7078
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