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1417212648
SUSAN ELISE STEVENS
CHARLESTON, WV
NPI
1417212648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 74114)
Enumeration Date
2012-07-13
Last Update Date
2017-02-22
Business Address
-- SUSAN ELISE STEVENS FNP-BC
3100 MACCORKLE AVE SE STE B1
CHARLESTON, WV 25304-1222
Phone number: 304-345-0667
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Mailing Address
-- SUSAN ELISE STEVENS FNP-BC
3415 MACCORKLE AVE SE
CHARLESTON, WV 25304-1334
Phone number: 304-388-1790
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