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1558547489
LORI LYNN RUSSO
MENOMONEE FALLS, WI
NPI
1558547489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 3208-026)
Enumeration Date
2008-01-09
Last Update Date
2008-01-09
Business Address
Mrs. LORI LYNN RUSSO ot
W143N5009 BROOK FALLS DR
MENOMONEE FALLS, WI 53051-6987
Phone number: 262-781-8352
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Mailing Address
Mrs. LORI LYNN RUSSO ot
1680 BERKSHIRE DR
ELM GROVE, WI 53122-1502
Phone number: 414-529-9982
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