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1770005407
SUZANNE ELLEN SANDERSON
MEDFORD, OR
NPI
1770005407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201707770NP-PP)
Enumeration Date
2017-07-14
Last Update Date
2017-11-01
Business Address
SUZANNE ELLEN SANDERSON FNP-C
2620 E BARNETT RD STE H
MEDFORD, OR 97504-8383
Phone number: 541-789-8100
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Mailing Address
SUZANNE ELLEN SANDERSON FNP-C
2620 E BARNETT RD STE H
MEDFORD, OR 97504-8383
Phone number: 541-789-8000
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