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Organization
CORAZON FAMILY HEALTH PC
Active
Organization
CORAZON FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA GURULE (BILLING MANAGER)
(505) 474-6097
Entity
Organization
Contact information
Practice address
3600 RODEO LN, SUITE A1, SANTA FE, NM 87507-6400
(505) 474-6097
(505) 471-4503
Mailing address
3600 RODEO LN STE A2, SANTA FE, NM 87507-5800
(505) 629-4400
(505) 474-4277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50901265
—
NM
Enumeration date
08/31/2006
Last updated
10/21/2009
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