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1245790385
ANA ALICIA LEONSO BRAVO
ROSWELL, NM
NPI
1245790385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM MD2024-0962)
Enumeration Date
2019-03-24
Last Update Date
2024-10-16
Business Address
ANA ALICIA LEONSO BRAVO MD
601 W COUNTRY CLUB RD STE 102
ROSWELL, NM 88201-5227
Phone number: 505-272-1312
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Mailing Address
ANA ALICIA LEONSO BRAVO MD
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 87106-4310
Phone number: 505-272-1476
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