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1649202227
SUSAN ELAINE RAY
DECATUR, IL
NPI
1649202227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209002638)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
-- SUSAN ELAINE RAY CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2966
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Mailing Address
-- SUSAN ELAINE RAY CRNA
715 COUNTRY MANOR DR
DECATUR, IL 62521-2524
Phone number: 217-424-2379
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DECATUR DIGESTIVE DISEASE CENTER LLC