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1548094964
KALLISTA RUSSO
MANALAPAN, NJ
NPI
1548094964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02283600)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
KALLISTA RUSSO
300 GORDONS CORNER RD STE 2
MANALAPAN, NJ 07726-3150
Phone number: 732-851-7642
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Mailing Address
KALLISTA RUSSO
38 BAYVIEW DR
BRICK, NJ 08723-7461
Phone number:
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