CRYSTAL L RUSSO

BISMARCK, ND
NPI1902094584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0582)
Enumeration Date2007-10-09
Last Update Date2016-07-22
Business Address
-- CRYSTAL L RUSSO PA
900 E BROADWAY AVE
BISMARCK, ND 58501-4520
Phone number: 701-530-6500
Mailing Address
-- CRYSTAL L RUSSO PA
PO BOX 997
BISMARCK, ND 58502-0997
Phone number: 701-530-6500
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