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Individual
AVERI DIRUSSO
Active
Individual
AVERI DIRUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
C1-0002324
DE
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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