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1871861179
LORI LEYBA MARTINEZ
ESPANOLA, NM
NPI
1871861179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH3203)
Enumeration Date
2011-12-01
Last Update Date
2016-08-09
Business Address
-- LORI LEYBA MARTINEZ RDH
608 LA JOYA ST STE B
ESPANOLA, NM 87532-3467
Phone number: 505-753-9454
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Mailing Address
-- LORI LEYBA MARTINEZ RDH
PO BOX 158 538 N. PASEO DE ONATE
ESPANOLA, NM 87532-0158
Phone number: 505-753-7218
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