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1700161312
DANIELLE MARIE RUSSO
SAULT SAINTE MARIE, MI
NPI
1700161312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006193)
Enumeration Date
2011-10-14
Last Update Date
2018-04-06
Business Address
Miss DANIELLE MARIE RUSSO PA-C
558 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-4001
Phone number: 906-635-9090
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Mailing Address
Miss DANIELLE MARIE RUSSO PA-C
550 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783-1899
Phone number: 906-635-4460
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