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1952634818
HOLLY RENEE' RUSSO
STONEWALL, LA
NPI
1952634818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA RN125144)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
Ms. HOLLY RENEE' RUSSO RN
158 TANNER ST
STONEWALL, LA 71078-4455
Phone number: 318-925-2335
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Mailing Address
Ms. HOLLY RENEE' RUSSO RN
158 TANNER ST
STONEWALL, LA 71078-4455
Phone number: 318-925-2335
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