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Individual

CHERI A BLACKSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8202 LOUISIANA BLVD NE, SUITE A, ALBUQUERQUE, NM 87113-2103
(505) 554-2409
(505) 554-2876
Mailing address
PO BOX 10777, ALBUQUERQUE, NM 87184-0777
(505) 554-2409
(505) 554-2876

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2013-0554
NM
207ZP0101X
Anatomic Pathology Physician
27076
OK

Other

Enumeration date
05/29/2009
Last updated
12/27/2016
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