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1598962060
JEFFREY ROBERT RUSSO
MCMINNVILLE, OR
NPI
1598962060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OR DP00326)
Enumeration Date
2007-06-28
Last Update Date
2016-12-09
Business Address
-- JEFFREY ROBERT RUSSO D.P.M.
212 NE NORTON LN
MCMINNVILLE, OR 97128-8470
Phone number: 503-435-0130
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Mailing Address
-- JEFFREY ROBERT RUSSO D.P.M.
235 SE NORTON LN STE B
MCMINNVILLE, OR 97128-8479
Phone number: 503-435-0130
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