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1720817083
DAVID RUSSO
BIRMINGHAM, AL
NPI
1720817083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
DAVID RUSSO
930 20TH ST S
BIRMINGHAM, AL 35205-2610
Phone number: 205-975-8884
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Mailing Address
DAVID RUSSO
930 20TH ST S
BIRMINGHAM, AL 35205-2610
Phone number:
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