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1023140530
MICHAEL SCOTT NYSTUL
LAS CRUCES, NM
NPI
1023140530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NM 446)
Enumeration Date
2007-03-10
Last Update Date
2014-10-15
Business Address
Dr. MICHAEL SCOTT NYSTUL PH.D
1395 MISSOURI AVE
LAS CRUCES, NM 88001-5327
Phone number: 575-522-5466
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Mailing Address
Dr. MICHAEL SCOTT NYSTUL PH.D
4310 SUMMIT LN
LAS CRUCES, NM 88011-7552
Phone number: 575-993-3586
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