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1952411092
LAURENT GRAHAM BANNOCK
SANTA FE, NM
NPI
1952411092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: NM P-0037)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. LAURENT GRAHAM BANNOCK DHSc LN
3600 CERRILLOS RD SUITE 207C
SANTA FE, NM 87507-2612
Phone number: 505-982-8475
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Mailing Address
Dr. LAURENT GRAHAM BANNOCK DHSc LN
9 CERRADO DR
SANTA FE, NM 87508-8234
Phone number: 505-310-1476
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