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La Mesa may refer to:
- La Mesa, California, a city in California, USA
- La Mesa, Cundinamarca, a town in Cundinamarca, Colombia
- La Mesa, a town in the Doña Ana County, New Mexico, USA
- La Mesa, a town in the Veraguas Province, Panama
- La Mesa (borough) in Tijuana, Mexico, where Mother Antonia has lived for 25 years in a cell.
- La Mesa Dam that supplies water to Metro Manila, the Philippines
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