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1649583329
SUSAN VARGHESE
LOGANVILLE, GA
NPI
1649583329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN 169364)
Enumeration Date
2010-07-22
Last Update Date
2010-07-22
Business Address
-- SUSAN VARGHESE NP
2720 LOGANVILLE HWY
LOGANVILLE, GA 30052-7715
Phone number: 401-770-1669
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Mailing Address
-- SUSAN VARGHESE NP
1 CVS DR ATTN: MINUTE CLINIC CREDENTIALING 2100
WOONSOCKET, RI 02895-6146
Phone number: 401-770-1669
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