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1619398617
LEAH WALLIS
LAS CRUCES, NM
NPI
1619398617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NM R65983)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- LEAH WALLIS
4201 NORTHRISE DR.
LAS CRUCES, NM 88011
Phone number: 575-541-7320
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Mailing Address
-- LEAH WALLIS
505 S MAIN ST STE 249
LAS CRUCES, NM 88001-1243
Phone number: 575-527-5884
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