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1861590069
JOANN RUSSO
MARIETTA, GA
NPI
1861590069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN049042)
Enumeration Date
2006-09-20
Last Update Date
2012-01-29
Business Address
-- JOANN RUSSO CRNA
2540 WINDY HILL RD SE
MARIETTA, GA 30067-8605
Phone number: 770-644-1274
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Mailing Address
-- JOANN RUSSO CRNA
PO BOX 932840
ATLANTA, GA 31193-2840
Phone number: 800-749-2940
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