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1366401580
SUSAN M SHARP
TUSTIN, CA
NPI
1366401580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A7109)
Enumeration Date
2006-03-17
Last Update Date
2015-10-16
Business Address
-- SUSAN M SHARP
17400 IRVINE BLVD M
TUSTIN, CA 92780-3030
Phone number: 714-542-5988
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Mailing Address
-- SUSAN M SHARP
PO BOX 77790
CORONA, CA 92877-0126
Phone number: 951-278-5590
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