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Individual

DR. FRANCESCA MICHELLE RUSSO-GOFORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2730 SAN PEDRO NE, SUITE A, ALBUQUERQUE, NM 87110-3365
(505) 881-0650
(505) 881-0647
Mailing address
2730 SAN PEDRO NE, SUITE A, ALBUQUERQUE, NM 87110-3365
(505) 881-0650
(505) 881-0647

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1413
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM00KJ05
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/23/2006
Last updated
11/16/2009
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