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1518253004
JOANNE RUSSO
ORANGE, CA
NPI
1518253004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA PT 11241)
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- JOANNE RUSSO
960 W TOWN AND COUNTRY RD
ORANGE, CA 92868-4714
Phone number: 714-836-7886
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Mailing Address
-- JOANNE RUSSO
960 W TOWN AND COUNTRY RD
ORANGE, CA 92868-4714
Phone number: 714-836-7886
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