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1205327715
LETICIA A LUKETICH MARTINEZ
ESPANOLA, NM
NPI
1205327715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-03536)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
LETICIA A LUKETICH MARTINEZ CNP
2010 INDUSTRIAL PARK RD
ESPANOLA, NM 87532-3600
Phone number: 505-753-7218
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Mailing Address
LETICIA A LUKETICH MARTINEZ CNP
PO BOX 158
ESPANOLA, NM 87532-0158
Phone number: 505-753-7218
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