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1366811721
RUSSELL DAVID CORYELL
LAS CRUCES, NM
NPI
1366811721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM cnp-02762)
Enumeration Date
2015-09-16
Last Update Date
2020-09-08
Business Address
RUSSELL DAVID CORYELL CNP-FNP
1455 S VALLEY DR STE B
LAS CRUCES, NM 88005-3165
Phone number: 575-526-6992
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Mailing Address
RUSSELL DAVID CORYELL CNP-FNP
1455 S VALLEY DR STE B
LAS CRUCES, NM 88005-3165
Phone number: 575-526-6992
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