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1205301694
REBECCA V RUSSELL
LAS CRUCES, NM
NPI
1205301694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM SLP6625)
Enumeration Date
2018-10-11
Last Update Date
2018-10-11
Business Address
REBECCA V RUSSELL SLP
1681 HICKORY LOOP
LAS CRUCES, NM 88005-6502
Phone number: 575-647-3773
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Mailing Address
REBECCA V RUSSELL SLP
301 PERKINS DR STE B
LAS CRUCES, NM 88005-3248
Phone number: 575-647-3773
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