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1295219699
SUZANNE HERTA GUBITOSA
GREENVILLE, SC
NPI
1295219699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: SC 22112)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
SUZANNE HERTA GUBITOSA AGPCNP-BC
54 BEAR DR
GREENVILLE, SC 29605-4458
Phone number: 888-506-8885
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Mailing Address
SUZANNE HERTA GUBITOSA AGPCNP-BC
501 ALLENTON WAY
GREER, SC 29651-7005
Phone number: 864-420-2511
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