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1124226931
SUSAN MARIA LAVELLE
GUERNEVILLE, CA
NPI
1124226931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner, Community Health
(Licence: CA NP 17209)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- SUSAN MARIA LAVELLE NP
16319 THIRD STREET
GUERNEVILLE, CA 95446
Phone number: 707-869-2849
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Mailing Address
-- SUSAN MARIA LAVELLE NP
8690 PETALUMA HILL RD
PENNGROVE, CA 94951-8734
Phone number: 707-992-0030
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