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1104644111
SUSAN SUM
SACRAMENTO, CA
NPI
1104644111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95032342)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
SUSAN SUM NP
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 530-209-1316
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Mailing Address
SUSAN SUM NP
3230 ARENA BLVD STE 245 PMB 153
SACRAMENTO, CA 95834-3004
Phone number: 530-209-1316
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