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1316211105
HEATHER LEIGH PARK
ALBUQUERQUE, NM
NPI
1316211105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NM 2895)
Enumeration Date
2012-02-27
Last Update Date
2012-02-27
Business Address
-- HEATHER LEIGH PARK OT
5006 COPPER AVE NE
ALBUQUERQUE, NM 87108-1301
Phone number: 505-268-7988
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Mailing Address
-- HEATHER LEIGH PARK OT
904 HOLLYWOOD BLVD
CORRALES, NM 87048-8478
Phone number: 505-280-6534
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