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1376138859
SUSAN M. CARBAJAL
PASCAGOULA, MS
NPI
1376138859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: MS 904490)
Enumeration Date
2021-03-05
Last Update Date
2022-05-02
Business Address
SUSAN M. CARBAJAL NP
2809 DENNY AVE
PASCAGOULA, MS 39581-5301
Phone number: 228-809-5419
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Mailing Address
SUSAN M. CARBAJAL NP
2101 HIGHWAY 90
GAUTIER, MS 39553-5340
Phone number: 228-497-7576
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