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1679668057
SUSAN FLEMING KISTLER
DURHAM, NC
NPI
1679668057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NC 111065)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN FLEMING KISTLER GNP
508 FULTON STREET
DURHAM, NC 27705
Phone number: 919-416-5969
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Mailing Address
Mrs. SUSAN FLEMING KISTLER GNP
2500 LANIER PLACE
DURHAM, NC 27705
Phone number: 919-490-1040
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