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1487700340
SUSAN LYNN DASTIC
SANTA ROSA, CA
NPI
1487700340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA RN3916680)
Enumeration Date
2007-01-25
Last Update Date
2021-12-30
Business Address
SUSAN LYNN DASTIC CRNA
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4000
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Mailing Address
SUSAN LYNN DASTIC CRNA
3507 HANOVER PL
SANTA ROSA, CA 95404-7640
Phone number: 707-578-8821
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