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1346883998
TERESA SU
SANTA ROSA, CA
NPI
1346883998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA C41092)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
TERESA SU
2200 COUNTY CENTER DR STE C
SANTA ROSA, CA 95403-3000
Phone number: 707-578-7787
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Mailing Address
TERESA SU
321 S MAIN ST # 537
SEBASTOPOL, CA 95472-4208
Phone number: 707-578-7787
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