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1679323125
SOFIA MARISSA RUSSO
WINSTON SALEM, NC
NPI
1679323125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-26
Last Update Date
2024-10-30
Business Address
SOFIA MARISSA RUSSO MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-0423
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Mailing Address
SOFIA MARISSA RUSSO MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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