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1821399023
RUSSELL RUTHERFORD
ALBUQUERQUE, NM
NPI
1821399023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
-- RUSSELL RUTHERFORD
6301 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-2036
Phone number: 505-343-1918
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Mailing Address
-- RUSSELL RUTHERFORD
8924 SHOSHONE RD NE
ALBUQUERQUE, NM 87111-4624
Phone number:
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