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1588620447
WILLIAM A. LEESON
SANTA FE, NM
NPI
1588620447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2005-0499)
Enumeration Date
2006-04-20
Last Update Date
2022-03-19
Business Address
WILLIAM A. LEESON M.D.
454 ST MICHAELS DR
SANTA FE, NM 87505-7602
Phone number: 505-303-5000
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Mailing Address
WILLIAM A. LEESON M.D.
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQEURQUE, NM 87125-6666
Phone number: 505-923-6770
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