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1215148671
RUSSELL J. MEYERHOFER
PUEBLO, CO
NPI
1215148671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 0004796)
Enumeration Date
2007-05-25
Last Update Date
2024-06-09
Business Address
RUSSELL J. MEYERHOFER PhD
1919 N GRAND AVE
PUEBLO, CO 81003-2614
Phone number: 719-569-2738
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Mailing Address
RUSSELL J. MEYERHOFER PhD
1919 N GRAND AVE
PUEBLO, CO 81003-2614
Phone number: 719-569-2738
Copy
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