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1487933834
MAIRA ANABEL RUSSO
CAMDEN, NJ
NPI
1487933834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00258900)
Enumeration Date
2011-08-16
Last Update Date
2018-03-07
Business Address
Ms. MAIRA ANABEL RUSSO PA-C
3 COOPER PLZ
CAMDEN, NJ 08103-1438
Phone number: 856-342-2439
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Mailing Address
Ms. MAIRA ANABEL RUSSO PA-C
1 FEDERAL ST # 200
CAMDEN, NJ 08103-1088
Phone number: 856-356-4924
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