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1477802775
SUSANNA ELIZABETH BLOSS
PORT ARTHUR, TX
NPI
1477802775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 713213)
Enumeration Date
2012-08-31
Last Update Date
2012-08-31
Business Address
-- SUSANNA ELIZABETH BLOSS NP
3600 GATES BLVD
PORT ARTHUR, TX 77642-3858
Phone number: 800-893-9698
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Mailing Address
-- SUSANNA ELIZABETH BLOSS NP
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number:
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