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1811063183
SUSAN A SOUTHARD
PHILADELPHIA, PA
NPI
1811063183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA VP002019C)
Enumeration Date
2006-11-28
Last Update Date
2007-07-26
Business Address
-- SUSAN A SOUTHARD CRNP
3701 MARKET ST 6TH FLOOR SUITE 640
PHILADELPHIA, PA 19104-5502
Phone number: 215-662-2250
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Mailing Address
-- SUSAN A SOUTHARD CRNP
3624 MARKET ST SUITE 560W
PHILADELPHIA, PA 19104-2614
Phone number: 215-662-2286
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