GERALD LEE RUSSELL

LAS VEGAS, NM
NPI1326040148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: NM  761)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
-- GERALD LEE RUSSELL PhD
713 6TH ST
LAS VEGAS, NM 87701-4359
Phone number: 505-429-4679
Mailing Address
-- GERALD LEE RUSSELL PhD
PO BOX 1705
LAS VEGAS, NM 87701-1705
Phone number: 505-454-2202
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