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1619023322
PAULA PETRULLO RUSSO
RANSON, WV
NPI
1619023322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WV 00382)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mrs. PAULA PETRULLO RUSSO PA
207 E 5TH AVE
RANSON, WV 25438-1613
Phone number: 304-728-5051
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Mailing Address
Mrs. PAULA PETRULLO RUSSO PA
6568 FLOWING SPRINGS RD
SHENANDOAH JUNCTION, WV 25442-4666
Phone number: 304-876-3626
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