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1265457410
SUSAN BLISS
CHARLOTTE, NC
NPI
1265457410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 9900170)
Enumeration Date
2006-07-12
Last Update Date
2019-02-12
Business Address
SUSAN BLISS
1025 MOREHEAD MEDICAL DR SUITE 500 5TH FLOOR
CHARLOTTE, NC 28204-2963
Phone number: 704-355-3149
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Mailing Address
SUSAN BLISS
1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204-2963
Phone number:
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