JOHN T. LIESSE

SHIPROCK, NM
NPI1548405038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: NM  R40513)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NM  R40513)
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
-- JOHN T. LIESSE RN
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
Mailing Address
-- JOHN T. LIESSE RN
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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