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1134527963
SUSANA MCKEOUGH
SAN RAFAEL, CA
NPI
1134527963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 7901)
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
Ms. SUSANA MCKEOUGH RN, FNP
179 ACACIA AVENUE ROOM 100 DOMINICAN UNIVERSITY STUDENT HEALTH CENTER
SAN RAFAEL, CA 94901
Phone number: 415-485-3208
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Mailing Address
Ms. SUSANA MCKEOUGH RN, FNP
50 ACACIA AVE. STUDENT HEALTH CENTER - DOMINICAN UNIVERSITY
SAN RAFAEL, CA 94901
Phone number: 415-485-3208
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