Individual
LESLIE NABOURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LESLIE NABOURS,ABOC
Contact information
Practice address
400 W. SPRUCE ST., DEMING, NM 88030-8803
(505) 546-9757
(505) 546-3006
Mailing address
400 W. SPRUCE ST., DEMING, NM 88030-8803
(505) 546-9757
(505) 546-3006
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156FX1800X
—
NM
Enumeration date
05/03/2007
Last updated
07/09/2007
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