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1891993440
RUSSELL REESE WYNN
ALBUQUERQUE, NM
NPI
1891993440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-06600)
Enumeration Date
2007-07-05
Last Update Date
2007-10-24
Business Address
-- RUSSELL REESE WYNN LISW
7007 WYOMING BLVD NE SUITE E-3
ALBUQUERQUE, NM 87109-3987
Phone number: 505-884-0112
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Mailing Address
-- RUSSELL REESE WYNN LISW
7007 WYOMING BLVD NE SUITE E-3
ALBUQUERQUE, NM 87109-3987
Phone number: 505-884-0112
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