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1437736543
DANIEL P RUSSO
FARMINGTON, CT
NPI
1437736543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
DANIEL P RUSSO
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-8083
Phone number: 860-679-6522
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Mailing Address
DANIEL P RUSSO
263 FARMINGTON AVE
FARMINGTON, CT 06030-1921
Phone number: 860-679-2147
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