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1558952911
MARISSA RUSSO
HUNTERSVILLE, NC
NPI
1558952911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC F01210887)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
MARISSA RUSSO NP
8712 LINDHOLM DR STE 302
HUNTERSVILLE, NC 28078-1872
Phone number: 704-997-6530
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Mailing Address
MARISSA RUSSO NP
13809 HILL ST
HUNTERSVILLE, NC 28078-5328
Phone number: 315-546-5184
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