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1427481639
KATHLEEN MARIE RUSSO
STATEN ISLAND, NY
NPI
1427481639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 215339696)
Enumeration Date
2013-08-12
Last Update Date
2013-08-12
Business Address
Mrs. KATHLEEN MARIE RUSSO
3 COALE AVE
STATEN ISLAND, NY 10314-2926
Phone number: 718-551-1677
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Mailing Address
Mrs. KATHLEEN MARIE RUSSO
3 COALE AVE
STATEN ISLAND, NY 10314-2926
Phone number: 718-551-1677
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