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1245500347
LETITIA M. HENLEY
VADITO, NM
NPI
1245500347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine
(Licence: NM #5422)
Enumeration Date
2012-01-05
Last Update Date
2012-01-05
Business Address
-- LETITIA M. HENLEY
#22 CIELO VISTA RD. INDIVIDUAL CLIENT HOMES;
VADITO, NM 87579
Phone number: 575-587-1756
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Mailing Address
-- LETITIA M. HENLEY
#22 CIELO VISTA RD
VADITO, NM 87579
Phone number: 575-587-1756
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