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1710308101
ERIN RUSSO
VALDOSTA, GA
NPI
1710308101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET001888)
Enumeration Date
2014-01-02
Last Update Date
2014-07-31
Business Address
-- ERIN RUSSO
3801 SCHROER ROAD
VALDOSTA, GA 31605
Phone number: 229-244-3552
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Mailing Address
-- ERIN RUSSO
3801 SCHROER ROAD
VALDOSTA, GA 31605
Phone number: 229-244-3552
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