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1558309328
SUSAN J VAN FOSSEN
SAN ANTONIO, TX
NPI
1558309328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 232874)
Enumeration Date
2006-06-03
Last Update Date
2010-02-19
Business Address
Dr. SUSAN J VAN FOSSEN RN, MSN, BC, PMHNP,
616 W RUSSELL PL
SAN ANTONIO, TX 78212-3658
Phone number: 800-257-8715
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Mailing Address
Dr. SUSAN J VAN FOSSEN RN, MSN, BC, PMHNP,
1105 CLIFF SWALLOW DR
GRANBURY, TX 76048-2651
Phone number: 817-579-6757
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