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1700032026
SUSAN ELLEN ROSS
FORT WORTH, TX
NPI
1700032026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 612494)
Enumeration Date
2008-08-18
Last Update Date
2013-09-23
Business Address
Mrs. SUSAN ELLEN ROSS FNP
709 W LEUDA ST
FORT WORTH, TX 76104-3115
Phone number: 817-926-2511
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Mailing Address
Mrs. SUSAN ELLEN ROSS FNP
1831 MEADOWS AVE
LANTANA, TX 76226-6540
Phone number: 210-639-0166
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