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1902872476
GORDON D. RUSSELL
FARMINGTON, NM
NPI
1902872476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 529)
Enumeration Date
2006-02-24
Last Update Date
2021-09-13
Business Address
GORDON D. RUSSELL O.D.
3450 E MAIN ST
FARMINGTON, NM 87402-5327
Phone number: 505-325-7070
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Mailing Address
GORDON D. RUSSELL O.D.
3450 E MAIN ST
FARMINGTON, NM 87402-5327
Phone number: 505-325-7070
Copy
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