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1750008207
ANTOINETTE MARIE RUSSOLELLO
NORTH HAVEN, CT
NPI
1750008207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 029069)
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
ANTOINETTE MARIE RUSSOLELLO PA-C
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 845-214-6736
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Mailing Address
ANTOINETTE MARIE RUSSOLELLO PA-C
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 845-214-6736
Copy
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