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1285250902
SUZANNE GRACE FORUM
FORT LAUDERDALE, FL
NPI
1285250902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 11007080)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
SUZANNE GRACE FORUM CRNA
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308-4668
Phone number: 954-771-8000
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Mailing Address
SUZANNE GRACE FORUM CRNA
2733 MIDDLE RIVER DR APT 2
FORT LAUDERDALE, FL 33306-1465
Phone number: 954-817-6563
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