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1215924592
SUSANNE L PORTER
ORANGE, CA
NPI
1215924592
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Former Name
SUSANNE L SNELLGROVE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP14777)
Enumeration Date
2005-10-03
Last Update Date
2013-07-23
Business Address
-- SUSANNE L PORTER NP
280 S MAIN ST STE 200
ORANGE, CA 92868-3852
Phone number: 714-634-4567
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Mailing Address
-- SUSANNE L PORTER NP
PO BOX 905
ORANGE, CA 92856-6905
Phone number:
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