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1174619787
SUSAN JANE RIESEL
ARCATA, CA
NPI
1174619787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA50880)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- SUSAN JANE RIESEL WHPAC
770 10TH STREET
ARCATA, CA 95521
Phone number: 707-826-8610
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Mailing Address
-- SUSAN JANE RIESEL WHPAC
670 NINTH STREET SUITE 203
ARCATA, CA 95521
Phone number: 707-826-8633
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