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1760260772
SAMANTHA RUSSO
LINCOLNTON, NC
NPI
1760260772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-20
Last Update Date
2023-10-16
Business Address
SAMANTHA RUSSO
433 MCALISTER RD
LINCOLNTON, NC 28092-4147
Phone number: 980-212-2000
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Mailing Address
SAMANTHA RUSSO
5100 CHILLMARK RD
CHARLOTTE, NC 28226-6472
Phone number: 919-619-2623
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