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1447380985
RONALD C RUSSO
CHAMPAIGN, IL
NPI
1447380985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: IL 036069806)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. RONALD C RUSSO MD
2504 GALEN DRIVE SUITE 107
CHAMPAIGN, IL 61821-7048
Phone number: 217-398-4856
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Mailing Address
Mr. RONALD C RUSSO MD
2504 GALEN DRIVE SUITE 107
CHAMPAIGN, IL 61821-7048
Phone number: 217-398-4856
Copy
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