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1336144252
SUSAN SPIVOCK SMITH
CAMP LEJEUNE, NC
NPI
1336144252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MD R108147)
Enumeration Date
2005-06-16
Last Update Date
2011-10-25
Business Address
Ms. SUSAN SPIVOCK SMITH CRNP
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28548-2538
Phone number: 910-450-4159
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Mailing Address
Ms. SUSAN SPIVOCK SMITH CRNP
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28548-2538
Phone number: 910-450-4159
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