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1144690348
CARL LEE RUSSELL
ALBUQUERQUE, NM
NPI
1144690348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM T-0177631)
Enumeration Date
2015-09-30
Last Update Date
2015-11-17
Business Address
Dr. CARL LEE RUSSELL M.A. DMin
2030 MOON ST NE
ALBUQUERQUE, NM 87112-2709
Phone number: 505-298-7620
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Mailing Address
Dr. CARL LEE RUSSELL M.A. DMin
2030 MOON ST NE
ALBUQUERQUE, NM 87112-2709
Phone number: 505-298-7620
Copy
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