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Organization
RUSS FASOLINO INC.
Active
Organization
RUSS FASOLINO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS FASOLINO D.C., L.AC. (PRESIDENT)
(970) 870-8888
Entity
Organization
Contact information
Practice address
320 OAK ST., STEAMBOAT SPRINGS, CO 80487
(970) 870-8888
(970) 870-3976
Mailing address
PO BOX 772583, 320 OAK ST., STEAMBOAT SPRINGS, CO 80477-2583
(970) 870-8888
(970) 870-3076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2475
CO
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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