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1487953527
CARLY RUSSO
PITTSBURGH, PA
NPI
1487953527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA054790)
Enumeration Date
2011-03-15
Last Update Date
2017-01-13
Business Address
-- CARLY RUSSO PA-C
107 GAMMA DR STE 210
PITTSBURGH, PA 15238-2936
Phone number: 412-963-6677
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Mailing Address
-- CARLY RUSSO PA-C
520 JEFFERSON AVE
JEANNETTE, PA 15644-2538
Phone number: 724-527-8060
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