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1376515684
JOHN P RUSSO
MALVERNE, NY
NPI
1376515684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NY X0039471)
Enumeration Date
2006-02-02
Last Update Date
2018-05-29
Business Address
-- JOHN P RUSSO CHIROPRACTOR
10 BROADWAY
MALVERNE, NY 11565
Phone number: 516-599-2593
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Mailing Address
-- JOHN P RUSSO CHIROPRACTOR
10 BROADWAY
MALVERNE, NY 11565
Phone number: 516-599-2593
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