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Individual

LILIA AZUCENA GOROEOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 522-8641
Mailing address
131 SPRINGDALE ST, EL PASO, TX 79928-8500
(915) 490-2087

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
59275
NM

Other

Enumeration date
03/12/2020
Last updated
03/12/2020
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