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1912523648
ANTHONY RUSSO
ROCHESTER, NY
NPI
1912523648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: NY 056397)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
ANTHONY RUSSO
163 QUARTERDECK PL
ROCHESTER, NY 14612-1432
Phone number: 585-704-2878
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Mailing Address
ANTHONY RUSSO
163 QUARTERDECK PL
ROCHESTER, NY 14612-1432
Phone number: 585-704-2878
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