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1730273103
LEON E. DEPREST
ALBUQUERQUE, NM
NPI
1730273103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 89181)
Enumeration Date
2006-10-03
Last Update Date
2008-07-17
Business Address
LEON E. DEPREST MD
5901 HARPER DR NE PMG URGENT CARE
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8233
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Mailing Address
LEON E. DEPREST MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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