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1285676759
SUSAN L DOUGHTY
FREMONT, CA
NPI
1285676759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP13911)
Enumeration Date
2006-06-11
Last Update Date
2012-08-02
Business Address
-- SUSAN L DOUGHTY NP
39500 LIBERTY STREET TRI CITY HEALTH CENTER
FREMONT, CA 94538
Phone number: 510-770-8133
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Mailing Address
-- SUSAN L DOUGHTY NP
39500 LIBERTY STREET
FREMONT, CA 94538
Phone number: 510-252-5897
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