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1598795452
RUSSELL C DEMICCO
CLEVELAND, OH
NPI
1598795452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OH 34008022)
Enumeration Date
2006-07-04
Last Update Date
2008-01-30
Business Address
RUSSELL C DEMICCO D.O
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
RUSSELL C DEMICCO D.O
6000 W CREEK RD SUITE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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