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1144323353
JENNIFER LEA LEA CLAYCOMB
DULCE, NM
NPI
1144323353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2005019602)
Enumeration Date
2006-09-06
Last Update Date
2011-05-25
Business Address
MS. JENNIFER LEA LEA CLAYCOMB MD
500 NORTH MUNDO
DULCE, NM 87528-0187
Phone number: 505-759-3291
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Mailing Address
MS. JENNIFER LEA LEA CLAYCOMB MD
PO BOX 187
DULCE, NM 87528-0187
Phone number: 505-759-3291
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