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1588073290
MICHELLE ELIZABETH LEONARD DEITHLOFF
SANTA FE, NM
NPI
1588073290
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Former Name
MICHELLE ELIZABETH LEONARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: NM 401)
Enumeration Date
2014-08-06
Last Update Date
2021-02-19
Business Address
Dr. MICHELLE ELIZABETH LEONARD DEITHLOFF D.P.M.
2019 GALISTEO ST STE K
SANTA FE, NM 87505-2159
Phone number: 505-395-9575
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Mailing Address
Dr. MICHELLE ELIZABETH LEONARD DEITHLOFF D.P.M.
PO BOX 540610
N SALT LAKE, UT 84054-0610
Phone number: 801-505-0821
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