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1073657946
SUSAN IRENE GUSTAFSON
REDDING, CA
NPI
1073657946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 191103)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
SUSAN IRENE GUSTAFSON RN
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5200
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Mailing Address
SUSAN IRENE GUSTAFSON RN
PO BOX 496048
REDDING, CA 96049-6048
Phone number:
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