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1164874947
SUSAN MATTISON
SAINT CLOUD, MN
NPI
1164874947
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Former Name
SUSAN MICHELLE ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN F0716177)
Enumeration Date
2016-07-06
Last Update Date
2016-07-06
Business Address
-- SUSAN MATTISON CNP
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303-5000
Phone number: 320-229-5099
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Mailing Address
-- SUSAN MATTISON CNP
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303-5000
Phone number: 320-229-5099
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