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1639219546
SUSAN RENA GLASS
FAYETTEVILLE, NC
NPI
1639219546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NC 200863)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- SUSAN RENA GLASS NP
2029 VALLEYGATE DR SUITE 101
FAYETTEVILLE, NC 28304-3688
Phone number: 910-323-2103
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Mailing Address
-- SUSAN RENA GLASS NP
2029 VALLEYGATE DR SUITE 101
FAYETTEVILLE, NC 28304-3688
Phone number: 910-323-2103
Copy
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