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1710950647
CHARLES E BRUERD
FARMINGTON, NM
NPI
1710950647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NM A1098-98)
Enumeration Date
2006-02-10
Last Update Date
2012-01-05
Business Address
CHARLES E BRUERD D.O.
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-326-6400
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Mailing Address
CHARLES E BRUERD D.O.
1515 E 20TH ST SUITE A
FARMINGTON, NM 87401-9039
Phone number: 505-326-6400
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