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1790750164
SUSAN L HUMPHREY
WINSTON SALEM, NC
NPI
1790750164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101635)
Enumeration Date
2006-02-21
Last Update Date
2011-04-21
Business Address
Ms. SUSAN L HUMPHREY PA
741 HIGHLAND AVE
WINSTON SALEM, NC 27101-4206
Phone number: 336-716-2255
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Mailing Address
Ms. SUSAN L HUMPHREY PA
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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