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1881628501
CAMILLE JOSEPH RUSSO
GONZALES, LA
NPI
1881628501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 3467)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. CAMILLE JOSEPH RUSSO DDS
1504 E HIGHWAY 30
GONZALES, LA 70737-4766
Phone number: 225-644-5311
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Mailing Address
Dr. CAMILLE JOSEPH RUSSO DDS
1504 E HIGHWAY 30
GONZALES, LA 70737-4766
Phone number: 225-644-5311
Copy
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