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1063440105
MICHAEL VITTORIO SUSANO
SHREVEPORT, LA
NPI
1063440105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA 025874)
Enumeration Date
2006-06-29
Last Update Date
2016-05-19
Business Address
Dr. MICHAEL VITTORIO SUSANO M.D.
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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Mailing Address
Dr. MICHAEL VITTORIO SUSANO M.D.
107 MEDICAL CIR
SULPHUR SPRINGS, TX 75482-2138
Phone number: 318-869-2044
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