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1548294853
SUSAN JANE GAWALT
WINCHESTER, VA
NPI
1548294853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101055943)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. SUSAN JANE GAWALT MD
1002 AMHERST ST BLDG C
WINCHESTER, VA 22601-3323
Phone number: 540-662-3853
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Mailing Address
Dr. SUSAN JANE GAWALT MD
1002 AMHERST ST BLDG C
WINCHESTER, VA 22601-3323
Phone number: 540-662-3853
Copy
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