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1528685385
SUSAN YVONNE MICHELLE EITELJORGE
PORTLAND, TX
NPI
1528685385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX ap144091)
Enumeration Date
2020-06-28
Last Update Date
2020-06-28
Business Address
SUSAN YVONNE MICHELLE EITELJORGE FNP
125 NORTHSHORE BLVD
PORTLAND, TX 78374-4206
Phone number: 361-852-6824
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Mailing Address
SUSAN YVONNE MICHELLE EITELJORGE FNP
153 ANGEL OAK
ROCKPORT, TX 78382-4429
Phone number:
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