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1902034879
SCOTT RYAN JEANSONNE
LOS LUNAS, NM
NPI
1902034879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM A-1580-10)
Enumeration Date
2009-06-30
Last Update Date
2024-05-08
Business Address
Dr. SCOTT RYAN JEANSONNE D.O.
145 DON PASQUAL RD NW
LOS LUNAS, NM 87031-8841
Phone number: 505-873-7400
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Mailing Address
Dr. SCOTT RYAN JEANSONNE D.O.
145 DON PASQUAL RD NW
LOS LUNAS, NM 87031-8841
Phone number: 505-865-4618
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