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1316907355
KRISNA CHONGSIRIWATANA
ALBUQUERQUE, NM
NPI
1316907355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NM 78-15)
Enumeration Date
2006-03-24
Last Update Date
2012-04-27
Business Address
Dr. KRISNA CHONGSIRIWATANA M.D.
500 WALTER NE SUITE 104
ALBUQUERQUE, NM 87102
Phone number: 505-848-3730
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Mailing Address
Dr. KRISNA CHONGSIRIWATANA M.D.
500 WALTER ST NE SUITE 104
ALBUQUERQUE, NM 87102-2534
Phone number: 505-848-3730
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