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1508907452
KRISTINA MARIE CHONGSIRIWATANA
ALBUQUERQUE, NM
NPI
1508907452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NM 2004-0276)
Enumeration Date
2007-02-12
Last Update Date
2020-07-21
Business Address
KRISTINA MARIE CHONGSIRIWATANA MD
4640 JEFFERSON LN NE
ALBUQUERQUE, NM 87109-2116
Phone number: 505-843-6168
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Mailing Address
KRISTINA MARIE CHONGSIRIWATANA MD
6320 RIVERSIDE PLAZA LN NW STE B
ALBUQUERQUE, NM 87120-1710
Phone number: 505-843-6168
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