LARRY RAYBURN PSYCHOTHERAPY

SANTA FE, NM
NPI1235666249
Entity TypeOrganization
Authorized ContactLARRY RAYBURN
Owner
505-310-5698
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NM  0100911)
Enumeration Date2017-05-22
Last Update Date2017-05-22
Business Address
LARRY RAYBURN PSYCHOTHERAPY
1503 LLANO ST STE A
SANTA FE, NM 87505-2000
Phone number: 505-310-5698
Mailing Address
LARRY RAYBURN PSYCHOTHERAPY
1411 SANTA CRUZ DR
SANTA FE, NM 87505-3861
Phone number: 505-310-5698
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