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1689244063
SUSAN PROUSE
BAINBRIDGE, GA
NPI
1689244063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN170978)
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
SUSAN PROUSE
1408 TALLAHASSEE HWY STE Z
BAINBRIDGE, GA 39819-7900
Phone number: 229-400-9033
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Mailing Address
SUSAN PROUSE
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 35203-1866
Phone number:
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