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Individual

JOHN RYAN VANUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(928) 710-3857
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-2024-0045
NM

Other

Enumeration date
07/05/2024
Last updated
09/24/2024
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