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1073036554
SUSAN CLARE SHADDOCK
WORCESTER, MA
NPI
1073036554
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Former Name
SUSAN CLARE EMMERLING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA RN2304241)
Enumeration Date
2017-07-17
Last Update Date
2020-10-27
Business Address
SUSAN CLARE SHADDOCK CNP
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 774-443-7552
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Mailing Address
SUSAN CLARE SHADDOCK CNP
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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