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1114472123
SUSAN KING
MINNETONKA, MN
NPI
1114472123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 006690)
Enumeration Date
2016-08-19
Last Update Date
2021-03-04
Business Address
SUSAN KING APRN
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 860-494-5784
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Mailing Address
SUSAN KING APRN
341 RYE ST
BROAD BROOK, CT 06016-9563
Phone number: 869-798-7413
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