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Individual

DEBORAH A CORTESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
801 ENCINO PL NE, SUITE E-12, ALBUQUERQUE, NM 87102-2612
(615) 778-4066
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(972) 364-8000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NM85006
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000S8706
NM
05
01786342
NM
05
28777841
NM
05
46650024
NM
05
51305879
NM
05
53938577
NM
Enumeration date
03/28/2007
Last updated
12/08/2009
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