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1265185961
SUSAN A DORNBUSCH
WACO, TX
NPI
1265185961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1058532)
Enumeration Date
2022-02-02
Last Update Date
2023-05-19
Business Address
Mrs. SUSAN A DORNBUSCH NP-C
TOTAL MEN'S HEALTH 2720 WEST LOOP 340 SUITE 250
WACO, TX 76711
Phone number: 512-736-9059
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Mailing Address
Mrs. SUSAN A DORNBUSCH NP-C
10983 BIGHAM RD
TROY, TX 76579-0210
Phone number: 512-736-9059
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