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1164030953
SUSAN BLAIR GAUSE
PEACHTREE CITY, GA
NPI
1164030953
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Former Name
SUSAN BLAIR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA 261236)
Enumeration Date
2020-07-17
Last Update Date
2020-12-09
Business Address
SUSAN BLAIR GAUSE MSN, APRN, PMHNP-BC
207 VAN NESS
PEACHTREE CITY, GA 30269-2134
Phone number: 305-896-6146
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Mailing Address
SUSAN BLAIR GAUSE MSN, APRN, PMHNP-BC
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-508-7796
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