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1386173698
SUSAN T KOO
STOCKTON, CA
NPI
1386173698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207LA0401X Anesthesiology, Addiction Medicine
(Licence: CA A87500)
Enumeration Date
2017-06-08
Last Update Date
2017-06-08
Business Address
Dr. SUSAN T KOO MD
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
Dr. SUSAN T KOO MD
548 DUNCAN ST # 201
SAN FRANCISCO, CA 94131-1928
Phone number: 415-672-2669
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