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Individual
BERNADETTE N. CORUM
Active
Individual
BERNADETTE N. CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD2011-006
NM
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-70279
MT
Other
Enumeration date
04/16/2008
Last updated
03/14/2024
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