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1831223775
KRISTEN RUSSO
JOHNSTOWN, PA
NPI
1831223775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: PA SL007238)
Enumeration Date
2007-03-15
Last Update Date
2008-04-22
Business Address
KRISTEN RUSSO
111 MARKET ST
JOHNSTOWN, PA 15901-1608
Phone number: 814-539-1919
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Mailing Address
KRISTEN RUSSO
605 PARK AVE
WINDBER, PA 15963-1354
Phone number: 814-467-3598
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