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1689892614
TERRY T RUSSO
ALLENTOWN, PA
NPI
1689892614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA000942L)
Enumeration Date
2007-04-23
Last Update Date
2015-12-23
Business Address
-- TERRY T RUSSO P.A.
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103-6202
Phone number: 610-402-8111
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Mailing Address
-- TERRY T RUSSO P.A.
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number:
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