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1518418029
JONATHAN LERCH
LOS LUNAS, NM
NPI
1518418029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3585)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- JONATHAN LERCH 3585
800 CORONADO RD
LOS LUNAS, NM 87031
Phone number: 505-865-9313
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Mailing Address
-- JONATHAN LERCH 3585
557 TRAMWAY BLVD NE APT # 104
ALBUQUERQUE, NM 87123-2145
Phone number: 412-552-8109
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