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1790986370
SUSAN LYNN MOLLARD
LATHAM, NY
NPI
1790986370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NY F360097)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- SUSAN LYNN MOLLARD NP
585 NEW LOUDON ROAD
LATHAM, NY 12110
Phone number: 518-783-1472
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Mailing Address
-- SUSAN LYNN MOLLARD NP
585 NEW LOUDON ROAD
LATHAM, NY 12110
Phone number: 518-783-1472
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