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1255437273
SUSAN H GERVASI
CLACKAMAS, OR
NPI
1255437273
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Former Name
SUSAN HAYES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: OR OR 083042345N7)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- SUSAN H GERVASI WHCNP, BSN
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-786-8435
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Mailing Address
-- SUSAN H GERVASI WHCNP, BSN
13683 SE 127TH AVE
CLACKAMAS, OR 97015-7302
Phone number:
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