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1962703587
MARY R RUSSO
ITHACA, NY
NPI
1962703587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 399994-1)
Enumeration Date
2010-11-12
Last Update Date
2014-02-17
Business Address
Ms. MARY R RUSSO RN
603 WILLOW AVE
ITHACA, NY 14850-3555
Phone number: 607-277-3415
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Mailing Address
Ms. MARY R RUSSO RN
603 WILLOW AVE
ITHACA, NY 14850-5635
Phone number: 607-277-3415
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