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Individual
CHERYL GOTTESFELD
Active
Individual
CHERYL GOTTESFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077692
ANTHEM BCBS
VA
01
—
S8590001
CAREFIRST BCBS
DC
Enumeration date
12/17/2006
Last updated
07/08/2007
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