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Individual

JENNIFER LECLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9110 SHOSHONE RD NE, ALBUQUERQUE, NM 87111-4786
(505) 291-6842
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R66495
NM

Other

Enumeration date
08/24/2020
Last updated
08/24/2020
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