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1588940340
ANNI RUSSO
STATE COLLEGE, PA
NPI
1588940340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT018198)
Enumeration Date
2011-10-25
Last Update Date
2011-10-25
Business Address
-- ANNI RUSSO PT
2160 SANDY DR STE A
STATE COLLEGE, PA 16803-2282
Phone number: 814-861-8122
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Mailing Address
-- ANNI RUSSO PT
2160 SANDY DR STE A
STATE COLLEGE, PA 16803-2282
Phone number: 814-861-8122
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