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1245798586
BERNARDO BLACK
LAS CRUCES, NM
NPI
1245798586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 55487)
Enumeration Date
2019-03-05
Last Update Date
2024-02-16
Business Address
BERNARDO BLACK FNP
WSTF/NASA CLINIC 12600 NASA ROAD BLDG. 104-E
LAS CRUCES, NM 88012-1298
Phone number: 575-524-5213
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Mailing Address
BERNARDO BLACK FNP
WSTF/NASA CLINIC 12600 NASA ROAD BLDG. 104-E
LAS CRUCES, NM 88012-1298
Phone number: 575-524-5213
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