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1790703361
LESLIE A DORK
ALBUQUERQUE, NM
NPI
1790703361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NM R33302)
Enumeration Date
2006-07-18
Last Update Date
2016-03-30
Business Address
Mrs. LESLIE A DORK CNP
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109-4679
Phone number: 505-998-7400
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Mailing Address
Mrs. LESLIE A DORK CNP
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109-4679
Phone number: 505-998-7400
Copy
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