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1740612514
SUSAN MILLER SETIAWAN
GOSHEN, IN
NPI
1740612514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28129907A)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
-- SUSAN MILLER SETIAWAN NP-C
213 MIDDLEBURY ST
GOSHEN, IN 46528-2956
Phone number: 574-534-3300
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Mailing Address
-- SUSAN MILLER SETIAWAN NP-C
12152 COUNTY ROAD 10
MIDDLEBURY, IN 46540-9694
Phone number: 574-825-8792
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