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1689185357
AUDREY RUSSO
WATKINSVILLE, GA
NPI
1689185357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN215319)
Enumeration Date
2017-10-20
Last Update Date
2022-05-06
Business Address
AUDREY RUSSO FNP-C
1252 VIRGIL LANGFORD RD FL 2
WATKINSVILLE, GA 30677-7245
Phone number: 770-312-7594
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Mailing Address
AUDREY RUSSO FNP-C
1041 FOX GLEN DR
WATKINSVILLE, GA 30677-1502
Phone number: 770-312-7594
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