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1801097860
SUSAN PETRO
CAMARILLO, CA
NPI
1801097860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: CA CA489246)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
-- SUSAN PETRO
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- SUSAN PETRO
54728 EL PRADO TRL
YUCCA VALLEY, CA 92284-2316
Phone number:
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