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1568738656
SUSAN JEAN LATHAM
SAN PEDRO, CA
NPI
1568738656
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Former Name
SUSAN JEAN MARESCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 193930)
Enumeration Date
2012-03-22
Last Update Date
2012-03-23
Business Address
-- SUSAN JEAN LATHAM R.N.
1534 W 25TH ST
SAN PEDRO, CA 90732-4402
Phone number: 310-548-5656
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Mailing Address
-- SUSAN JEAN LATHAM R.N.
1150 W CAPITOL DR #100
SAN PEDRO, CA 90732-5015
Phone number: 310-514-1972
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