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Hospitals,Facilities, and Other Care Providers Los Alamos HARRIS, MICHELLE PT Provider ID: NM00Q236 4717 QUEMAZON 505-662-2225 Fax: 505-662-2228 JOHNSON, GRETCHEN PT Provider ID: NM00S078 1350 CENTRAL AVE STE 105 505-662-3384 Fax: 505-661-0085 Languages: French JORGENSEN, MARI PT Provider ID: NM00S082 1350 CENTRAL AVE STE 105 505-662-3384 Fax: 505-661-0085 LAWTON, CINDY PT Provider ID: NM00Q235 4717 QUEMAZON 505-662-2225 Languages: French OROFINO, FRANCESCA PT Provider ID: NM00S080 1350 CENTRAL AVE STE 105 505-662-3384 Fax: 505-661-0085 Languages: French ROBEY, MARGARET PT Provider ID: NM00Q432 2101 TRINITY DR STE N 505-661-6191 Languages: Spanish WEIDNER, MICHELLE PT Provider ID: NM00S218 2101 TRINITY DR STE N 505-661-6191 Fax: 505-663-0386 Languages: Spanish WEIDNER, MICHELLE PT Provider ID: NM00S098 4717 QUEMAZON 505-662-2225 Fax: 505-662-2228 WEYRAUCH, ANNETTE PT Provider ID: NM00N615 1350 CENTRAL AVE STE 105 505-662-3384 Fax: 505-661-0085 Languages: German Skilled Nursing Facility SOMBRILLO NURSING FACILITY, Provider ID: NM00M040 1011 SOMBRILLO CT 505-662-4300 Urgent Care Center LOS ALAMOS URGENT CARE, Provider ID: NM00UCBM 1460 TRINITY DR STE A 505-662-0768 Fax: 505-661-2653 164 Los Lunas Valencia County Audiology Services LIVINGSTON AUDIOLOGY & HEARING, Provider ID: NM00E276 835 MAIN ST SE STE 102 575-762-5355 Fax: 575-762-1999 Federally Qualified Health Clinic (FQHC) FIRST CHOICE COMM HLTHCARE, Provider ID: NM005096 1259 HIGHWAY 314 NW 505-865-4618 Fax: 505-224-8727 Languages: Spanish Laboratory/Pathology LSHS INC DBA SED MEDICAL LABS, Provider ID: NM017550 111 SANDOVAL SW 505-865-1631 Fax: 505-865-1632 TRICORE REFERENCE LAB, Provider ID: NM007528 200 EMILIO LOPEZ RD 505-866-2750 Fax: 505-866-2751 Midwifery ORTIZ, FELINA CNM Provider ID: NM006N93 1259 HIGHWAY 314 505-224-8427 Fax: 505-224-8427 Languages: Spanish Nutritional Counseling COLEMAN, CONNIE RD Provider ID: NM00BF25 200 EMILIO LOPEZ RD 505-866-2700 Fax: 505-866-2701 Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval,Valencia and Torrance counties KNATZ, ANDREA RD Provider ID: NM005R23 200 EMILIO LOPEZ RD 505-866-2700 Fax: 505-866-2701 Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval,Valencia and Torrance counties VALDEZ, KRISTI RD Provider ID: NM006X08 200 EMILIO LOPEZ RD 505-866-2700 Fax: 505-866-2701 Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval,Valencia and Torrance counties Optometry Hospitals,Facilities, and Other Care Providers CANO HOWES, MELINDA OD Provider ID: NM00PB82 1603 MAIN ST STE B 505-342-4170 Fax: 505-866-5927 Languages: Spanish COOPER, MORLEY OD Provider ID: NM00PA73 1603 MAIN ST SW STE B 505-342-4170 Fax: 505-866-5297 Languages: Spanish KEYES, GEORGE OD Provider ID: NM01PD61 1800 MAIN ST NE BLDG 3 STE 310 505-865-5993 Languages: Spanish ROLAND, NATHANIEL OD Provider ID: NM00PD62 1603 MAIN ST SW STE B 505-342-4170 Languages: Spanish Physical Therapy & Rehabilitation BACA, STEPHANIE PT Provider ID: NM00S073 535 US HWY 314 SW 505-866-0055 Fax: 505-866-0057 Languages: Spanish BALZIS, BETHANY PT Provider ID: NM00Q375 2211 MAIN ST SE STE C 505-296-9521 BROWNING, KAREN PT Provider ID: NM00Q459 2211 MAIN ST SE STE C 505-296-9521 Fax: 505-296-2200 BYRD, VIRGINIA PT Provider ID: NM00Q460 2211 MAIN ST SE STE C 500-866-1677 DAVIS, GAIL PT Provider ID: NM00Q368 2211 MAIN ST SE STE C 505-296-9521 FRANTZ, CLYDE PT Provider ID: NM00Q074 2211 MAIN ST SE STE C 505-866-1677 GOVE, VALERIE PT Provider ID: NM00Q075 2211 MAIN ST SE STE C 505-866-1677 GRANADOS, CANDACE PT Provider ID: NM00Q076 2211 MAIN ST SE STE C 505-866-1677 GUTIERREZ, VALERIE PT Provider ID: NM00S347 535 US HWY 314 SW 505-866-0055 Fax: 505-866-0057 Languages: Spanish HERBERT, CHARLES PT Provider ID: NM00S400 535 US HWY 314 SW 505-866-0055 Fax: 505-866-0057 Languages: Spanish KENNEDY, DAVID PT Provider ID: NM01Q395 535 US HWY 314 SW 505-866-0055 MONTGOMERY, KATHERINE PT Provider ID: NM00Q358 2211 MAIN ST SE STE C 505-296-9521 NEAL, MELISSA PT Provider ID: NM00S331 535 US HWY 314 SW 505-866-0055 Fax: 505-866-0057 Languages: Spanish OLSON, MONICA PT Provider ID: NM00Q403 2211 MAIN ST SE STE C 505-866-1677 PEREZ, ANGELA PT Provider ID: NM00Q523 2211 MAIN ST SE STE C 505-866-1677 Fax: 505-866-1767 SACASA, OLGA PT Provider ID: NM01Q564 535 US HWY 314 SW 505-866-0055 Fax: 505-866-0057 Languages: German SANCHEZ, DONALD PT Provider ID: NM01Q307 535 US HWY 314 SW 505-866-0055 VIGIL, PATRICK PT Provider ID: NM00EE31 535 US HWY 314 SW 505-866-0055 Fax: 505-866-0057 Languages: Spanish WAGHORN, STEVE PT Provider ID: NM01Q488 535 US HWY 314 SW 505-866-0055 Speech Therapy CHACON, CINDY SLP Provider ID: NM00EE24 2963 HWY 47 505-615-8704 Lovington Lea County Acute Care Hospital NOR LEA GEN HOSP, Provider ID: NM000024 1600 NO MAIN 575-396-6611 February 2012
Hospitals,Facilities, and Other Care Providers Durable Medical Equipment Supplier NOR LEA HOME MEDICAL, Provider ID: NM00T511 126 TATUM HWY 575-396-1331 Fax: 575-396-0229 Laboratory/Pathology AMERIPATH LUBBOCK 5 01 CORPORATIO, Provider ID: NM007H73 1600 NORTH MAIN AVE 806-725-4020 Rural Health Clinic (RHC) LOVINGTON CLINIC, Provider ID: NM007159 1600 N MAIN AVE STE A 575-396-3529 Magdalena Socorro County Federally Qualified Health Clinic (FQHC) PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 801 TENTH ST 575-854-3161 Fax: 505-854-3160 Mesilla Dona Ana County Federally Qualified Health Clinic (FQHC) LA CLINICA DE FAMILIA INC, Provider ID: NM007691 ONATE PLAZA STE 7 575-524-3571 Mimbres Grant County Federally Qualified Health Clinic (FQHC) HIDALGO MEDICAL SERVICES, Provider ID: NM007201 2843 B HWY 35 575-536-3990 Nutritional Counseling SMITH, DEBORAH RD Provider ID: NM00BE23 2743 B HWY 35N 575-536-3990 Fax: 575-536-3991 Mora Mora County Federally Qualified Health Clinic (FQHC) MORA VALLEY COM HLTH SER, Provider ID: NM005065 HWY 518 575-387-2201 Fax: 575-387-9011 Moriarty Torrance County Occupational Therapy URIARTE, MARIA OT Provider ID: NM00S423 2005 US RT 66 WEST STE C 505-832-4011 Fax: 505-286-3688 Languages: Spanish Physical Therapy & Rehabilitation CARPENTER, LYNNE PT Provider ID: NM00S584 2005 US ROUTE 66 W STE C 505-832-4011 Fax: 505-832-0434 Languages: Spanish FOWLER, CHERYL PT Provider ID: NM00Q336 2005 US ROUTE 66 W STE C 505-832-4011 Languages: Spanish FOWLER, JAMES PT Provider ID: NM00Q337 2005 US ROUTE 66 W STE C 505-832-4011 Languages: Spanish IRVIN, PAULA PT Provider ID: NM00Q551 2005 US ROUTE 66 W STE C 505-832-4011 LOWDER, JAMES PT Provider ID: NM00Q803 2005 US RT 66 W STE C 505-832-4011 Fax: 505-832-0434 Languages: Spanish Mountainair Torrance County Federally Qualified Health Clinic (FQHC) PMS SANTA FE COMM GUIDANCE CTR, Provider ID: NM007A33 105 E PINON ST 505-847-2271 Fax: 505-847-0255 Languages: Spanish Ojo Caliente Taos County Federally Qualified Health Clinic (FQHC) LAS CLINICAS DEL NORTE, Provider ID: NM007526 HWY 285 BLDG 35282 505-583-2191 Fax: 505-583-2520 Languages: Spanish Pecos San Miguel County Federally Qualified Health Clinic (FQHC) PECOS VALLEY MEDICAL CTR, Provider ID: NM007551 HWY 50 505-757-6482 Languages: Spanish Physical Therapy & Rehabilitation BYRD, VIRGINIA PT Provider ID: NM00Q796 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Spanish DIMITROV, LAURA PT Provider ID: NM00Q656 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Spanish HUIZENGA, SARA PT Provider ID: NM00Q286 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Spanish MARCELLUS, GARY PT Provider ID: NM00Q254 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Spanish MAZUR, BRUCE PT Provider ID: NM00Q651 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Spanish TRUJILLO, ANDREA PT Provider ID: NM00S045 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Russian WOJCIK, DENISE PT Provider ID: NM00S026 3 CAMINO ANDRES VIGIL 505-757-6577 Fax: 505-757-6588 Languages: Russian Penasco Taos County Rural Health Clinic (RHC) HCH HLTH CLINIC PENASCO, Provider ID: NM007292 24 HWY 73 575-587-1833 Languages: Spanish Portales Roosevelt County Acute Care Hospital ROOSEVELT GENERAL HOSPITAL, Provider ID: NM000077 42121 US HIGHWAY 70 575-359-1800 Durable Medical Equipment Supplier PORTALES HOME MED EQUIP INC, Provider ID: NM00T28F 312 S MAIN AVE 575-356-0688 Federally Qualified Health Clinic (FQHC) LA CASA DE BUENA SALUD INC, Provider ID: NM007566 1515 W FIR ST 575-356-6695 Languages: Spanish Home Health Care INTERIM HEALTHCARE, Provider ID: NM00HHA5 1608 E SPRUCE ST STE 700 575-226-4663 Fax: 575-742-3368 ROOSEVELT GENERAL HOSPITAL HOME, Provider ID: NM00HHF5 1412 S AVE O STE B 575-226-4663 Fax: 575-226-4664 Laboratory/Pathology AMERIPATH LUBBOCK 5 01 CORPORATIO, Provider ID: NM007H73 14121 US HWY 70 806-725-4020 Nutritional Counseling HARRIS, SHARON RD Provider ID: NM00RY40 42121 US HWY 70 575-356-6652 Languages: German Portales February 2012 165 Hospitals,Facilities, and Other Care Providers
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Experience. Wellness. Everywhere. S
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Table of Contents Primary Care Prov
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Primary Care Providers HANUMANDLA,
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Primary Care Providers DERKSEN, DAN
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Primary Care Providers MCCOY, MEGAN
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Primary Care Providers STAPLETON, J
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Primary Care Providers YAMAMOTO, KE
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Primary Care Providers KULASINGHE,
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Primary Care Providers CONCENTRA UR
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Primary Care Providers PENTECOST, J
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Primary Care Providers WOSICK, LUAN
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Primary Care Providers Pediatrics C
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Primary Care Providers General Prac
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Primary Care Providers VEILLEUX, CA
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Primary Care Providers Grants Cibol
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Primary Care Providers ARMISTEAD, D
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Primary Care Providers SAAVEDRA, RA
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Primary Care Providers REHAB OCCUPA
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Primary Care Providers LAKE, ANNA M
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Primary Care Providers Penasco Taos
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Primary Care Providers Occupational
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Primary Care Providers KUMAR, KRISH
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Primary Care Providers SALAS, BARBA
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Primary Care Providers Silver City
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Primary Care Providers ENDRES, DELO
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Primary Care Providers Federally Qu
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Primary Care Providers LOVELESS, AL
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Specialists Trinidad Las Animas Cou
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Specialists BUJOI, MIHAELA MD Provi
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Specialists ZEMAN, HOWARD MD Provid
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Specialists MORGAN, ELIZABETH MD Pr
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Specialists COSTON, SEAN MD Provide
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Specialists Hand Surgery LARSEN, KE
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Specialists MELENDRES GROVES, LANA
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Specialists CRONIN, RICHARD MD Prov
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Specialists CLAPP, NADINE MD Provid
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Specialists STUART, KELLY MD Provid
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Specialists ARCHIBECK, MICHAEL MD P
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Specialists Pain Mgmt or Anesthesio
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Specialists LEDMAN, JUDY MD Provide
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Specialists NELSON, GARY DPM Provid
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Specialists CHAVEZ CHIANG, NATALIA
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Specialists General Surgery ANOUSHF
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Specialists Cerrillos Santa Fe Coun
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Specialists PAUL ANDERSON MD PA, Pr
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Specialists Internal Medicine HELD,
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Specialists SONG, MI KYOUNG MD Prov
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Specialists DAVENPORT, JENNIFER MD
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Specialists ROBERT G IVEY, Provider
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Specialists LOPEZ, STEVEN MD Provid
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Specialists SHERER, KEVIN MD Provid
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Specialists Los Alamos Los Alamos C
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Specialists Ojo Caliente Taos Count
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Specialists YATSKOWITZ, JEROME MD P
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Specialists BRADY, CHAD DPM Provide
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Specialists JACKSON, CHRISTOPHER MD
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Specialists PMS SANTA FE COMM GUIDA
Page 115 and 116: Specialists MANSKE, ERIC MD Provide
Page 117 and 118: Specialists Pulmonary Diseases AL D
Page 119 and 120: Specialists GRUBER, CHRISTOPER MD P
Page 121 and 122: Specialists ROCKWOOD, JASON DPM Pro
Page 123 and 124: Specialists Neurology MORENO, MIGUE
Page 125 and 126: Specialists WILMS, HENRIK MD Provid
Page 127 and 128: Specialists JOHNSON, CARSON MD Prov
Page 129 and 130: CO Cortez Montezuma County Durable
Page 131 and 132: Hospitals,Facilities, and Other Car
Page 165: Hospitals,Facilities, and Other Car
Page 183 and 184: NM ALBUQUERQUE Bernalillo County Ur
Page 185 and 186: ZIA HEALTH CENTER, Provider ID: 00N
Page 187 and 188: Davis Vision Providers Robison, Edw
Page 189 and 190: Davis Vision Providers Roland, Nath
Page 191 and 192: DentaQuest CHA, LILY DDS 111 COORS
Page 193 and 194: DentaQuest FORDE, COLIN DDS 1275 AN
Page 195 and 196: DentaQuest ESPANOLA NM RIO ARRIBA G
Page 197 and 198: DentaQuest 2141 HAMMERAND CT STE B
Page 199 and 200: DentaQuest CHAIKIN, RACHELLE DDS 64
Page 201 and 202: DentaQuest LIN, ROYANA DDS 7211 N M
Page 203 and 204: NM ALAMOGORDO Otero County KMART PH
Page 205 and 206: Pharmacy Network CUBA Sandoval Coun
Page 207 and 208: Pharmacy Network SANTA ROSA Guadalu
Page 209 and 210: NM Salud Alphabetical Index BAGGS,
Page 211 and 212: NM Salud Alphabetical Index CONNORS
Page 213 and 214: NM Salud Alphabetical Index GARARD,
Page 215 and 216: NM Salud Alphabetical Index JONES,
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NM Salud Alphabetical Index MASON,
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NM Salud Alphabetical Index PAVIA,
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NM Salud Alphabetical Index SANTA F
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NM Salud Alphabetical Index UNVERZA
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Acute Care Hospital ADVANCED CARE H
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NM Salud Providers by Specialty Ind
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February 2012 Primary Care Provider
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NM Salud Primary Care Providers by
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February 2012 Specialties by Locati
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NM Salud Specialties by Location In
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February 2012 Primary Care Provider
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NM Salud February 2012 Primary Care
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NM Salud LA CLINICA DE FAMILIA INC,
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NM Salud KNACKSTEDT, SHIRLEY CNP CN
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