SUSAN DEBOLT

APPLE VALLEY, MN
NPI1487405221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  35114)
Enumeration Date2024-03-29
Last Update Date2024-03-29
Business Address
Dr. SUSAN DEBOLT DNP
15290 PENNOCK LN
APPLE VALLEY, MN 55124-7163
Phone number: 952-967-7250
Mailing Address
Dr. SUSAN DEBOLT DNP
4915 TIMBERDALE DR
NASHVILLE, TN 37211-5119
Phone number: 715-340-9969
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