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Individual

RUSSELL F SYLVESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
114 FOX LN, NEWARK, DE 19711-2009
(302) 738-1507
Mailing address
114 FOX LN, NEWARK, DE 19711-2009
(302) 738-1507

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
852470
DE

Other

Enumeration date
10/28/2009
Last updated
10/28/2009
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