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1578742532
JUSTINE NOELLE RUSSUM
TAMPA, FL
NPI
1578742532
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Former Name
JUSTINE NOELLE SELKOW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA9930)
Enumeration Date
2007-10-26
Last Update Date
2022-01-12
Business Address
Mrs. JUSTINE NOELLE RUSSUM
6508 GUNN HIGHWAY
TAMPA, FL 33625-4022
Phone number: 813-963-6923
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Mailing Address
Mrs. JUSTINE NOELLE RUSSUM
6508 GUNN HIGHWAY INDEPENDENT LIVING INC
TAMPA, FL 33625-4022
Phone number: 813-963-6923
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