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1699846469
AMY FAITH RUSSO
LONGWOOD, FL
NPI
1699846469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9100889)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Mrs. AMY FAITH RUSSO P.A.
1908 BOOTHE CIR
LONGWOOD, FL 32750-6774
Phone number: 407-331-7007
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Mailing Address
Mrs. AMY FAITH RUSSO P.A.
903 PONDVIEW LN
CELEBRATION, FL 34747-4214
Phone number: 321-939-0871
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