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1972707396
NADINE ANN RUSSO
PLAINVILLE, CT
NPI
1972707396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
Mrs. NADINE ANN RUSSO
91 NORTHWEST DR
PLAINVILLE, CT 06062-1534
Phone number: 860-793-3809
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Mailing Address
Mrs. NADINE ANN RUSSO
87 HARVEST LN
PLANTSVILLE, CT 06479-1041
Phone number: 860-621-5078
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