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1265547335
SUSANA ERTAC
ORANGE, CA
NPI
1265547335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 9601)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- SUSANA ERTAC RN, NP
1201 W LA VETA AVE STE 501
ORANGE, CA 92868-4213
Phone number: 714-771-7994
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Mailing Address
-- SUSANA ERTAC RN, NP
2431 PORT WHITBY PL
NEWPORT BEACH, CA 92660-5435
Phone number: 949-706-2958
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