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1447552963
CYNTHIA RUSSELL
BROOKLYN, NY
NPI
1447552963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 014487-1)
Enumeration Date
2010-12-04
Last Update Date
2010-12-04
Business Address
Mrs. CYNTHIA RUSSELL RPAC
129 SAINT NICHOLAS AVE
BROOKLYN, NY 11237-4039
Phone number: 718-821-0643
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Mailing Address
Mrs. CYNTHIA RUSSELL RPAC
6449 AUSTIN ST
REGO PARK, NY 11374-4053
Phone number: 801-458-7724
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