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1871077966
RUSSELL PARKER
LA JUNTA, CO
NPI
1871077966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
RUSSELL PARKER
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 800-511-5446
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Mailing Address
RUSSELL PARKER
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 800-511-5446
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