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1265067581
NATHAN LEACH
ESPANOLA, NM
NPI
1265067581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
NATHAN LEACH CPSW
1000 N PASEO DE ONATE
ESPANOLA, NM 87532-2683
Phone number: 505-983-6158
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Mailing Address
NATHAN LEACH CPSW
PO BOX 449
TESUQUE, NM 87574-0449
Phone number: 505-983-6158
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