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1972960342
RUSSELL MARTENS
CHEYENNE, WY
NPI
1972960342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY LPC-1669)
Enumeration Date
2016-01-15
Last Update Date
2020-08-31
Business Address
RUSSELL MARTENS LPC
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-426-4797
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Mailing Address
RUSSELL MARTENS LPC
1327 MARIE LN
CHEYENNE, WY 82009-3865
Phone number: 303-335-5573
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