JOEL RUSSO

CENTERVILLE, OH
NPI1902203953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT.004379)
Enumeration Date2014-11-19
Last Update Date2014-11-19
Business Address
-- JOEL RUSSO AT, ATC
2350 MIAMI VALLEY DR
CENTERVILLE, OH 45459-4778
Phone number: 937-438-7755
Mailing Address
-- JOEL RUSSO AT, ATC
1917 PENNSYLVANIA DR
XENIA, OH 45385-4537
Phone number: 937-272-9204
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