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1356431456
PETER JOHN RUSSO
AKRON, OH
NPI
1356431456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OH 50.000448)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Mr. PETER JOHN RUSSO PA-C
55 W WATERLOO RD
AKRON, OH 44319-1116
Phone number: 330-724-7715
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Mailing Address
Mr. PETER JOHN RUSSO PA-C
211 RIDGE RD
MOGADORE, OH 44260-2022
Phone number: 330-628-5508
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