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1073733689
SUSAN MATHEWS
SALT LAKE CITY, UT
NPI
1073733689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0000X Family Medicine, Adolescent Medicine
(Licence: CA A52704)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- SUSAN MATHEWS M D
275 E 200 S
SALT LAKE CITY, UT 84111-2002
Phone number: 801-428-2270
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Mailing Address
-- SUSAN MATHEWS M D
PO BOX 100
GOBLES, MI 49055-0100
Phone number: 269-628-2339
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