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1396873584
MICHAEL R RUSSO
JAMESTOWN, NY
NPI
1396873584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 003830)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- MICHAEL R RUSSO
200 E 3RD ST
JAMESTOWN, NY 14701-5433
Phone number: 716-661-8330
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Mailing Address
-- MICHAEL R RUSSO
7 N ERIE ST
MAYVILLE, NY 14757-1090
Phone number:
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