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1417065590
SUSAN MARIE FOGLE
AUSTIN, TX
NPI
1417065590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 257091)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
-- SUSAN MARIE FOGLE RNFA
630 W 34TH ST #302
AUSTIN, TX 78705-1232
Phone number: 512-459-3228
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Mailing Address
-- SUSAN MARIE FOGLE RNFA
630 W 34TH ST #302
AUSTIN, TX 78705-1232
Phone number: 512-459-3228
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