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1194714956
SUSIE A JOHN
SHIPROCK, NM
NPI
1194714956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NM 85216)
Enumeration Date
2005-10-14
Last Update Date
2007-12-26
Business Address
-- SUSIE A JOHN MD MPH
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
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Mailing Address
-- SUSIE A JOHN MD MPH
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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