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Individual

DESARAE M BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1490 GRIMES ST, FALLON, NV 89406-3103
(775) 423-1412
(775) 423-4054
Mailing address
PO BOX 1240, FALLON, NV 89407-1240
(775) 423-1412
(775) 423-4054

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/27/2013
Last updated
06/27/2013
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