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Individual

MR. DONALD GENE CORNWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DOM LMT PHD

Contact information

Practice address
202 MORNINGSIDE SE, ALBUQUERQUE, NM 87108-2633
(505) 268-6870
(505) 268-0818
Mailing address
202 MORNINGSIDE SE, ALBUQUERQUE, NM 87108-2633
(505) 268-6870
(505) 268-0818

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
210
NM
225700000X
Massage Therapist
0668
NM

Other

Enumeration date
12/14/2007
Last updated
12/14/2007
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