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1831589969
KARL JOSEPH RUSSO
GLENOLDEN, PA
NPI
1831589969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE007568)
Enumeration Date
2015-01-27
Last Update Date
2015-01-28
Business Address
Mr. KARL JOSEPH RUSSO PTA
901 W ASHLAND AVE
GLENOLDEN, PA 19036-1101
Phone number: 610-461-6522
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Mailing Address
Mr. KARL JOSEPH RUSSO PTA
901 W ASHLAND AVE
GLENOLDEN, PA 19036-1101
Phone number: 610-461-6522
Copy
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