DALLAS GALE RUSSO

MADERA, CA
NPI1578777629
Former NameDALLAS GALE BATES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  461890)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Ms. DALLAS GALE RUSSO RN
14277 ROAD 28
MADERA, CA 93638-5715
Phone number: 559-673-3508
Mailing Address
Ms. DALLAS GALE RUSSO RN
14277 ROAD 28 P.O. BOX 1288
MADERA, CA 93638-5715
Phone number: 559-673-3508
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