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Individual

DR. BERNADETTE S CODEN-FESTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46957
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
310472900
MN
Enumeration date
12/30/2005
Last updated
03/01/2012
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