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1265548820
JOHN LEAK
CARLSBAD, NM
NPI
1265548820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM 97-PA26)
Enumeration Date
2006-08-23
Last Update Date
2012-07-04
Business Address
-- JOHN LEAK PA
2420 W PIERCE ST STE 205
CARLSBAD, NM 88220-3543
Phone number: 575-887-0530
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Mailing Address
-- JOHN LEAK PA
612 N 13TH ST STE H
ARTESIA, NM 88210-1167
Phone number: 575-746-8880
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