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1811454135
SUZANNE FAYE PENA
MERCED, CA
NPI
1811454135
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Former Name
SUZANNE NICKERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95010396)
Enumeration Date
2019-02-22
Last Update Date
2021-05-07
Business Address
SUZANNE FAYE PENA FNP
3064 OLEANDER AVE
MERCED, CA 95340-2335
Phone number: 916-398-0828
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Mailing Address
SUZANNE FAYE PENA FNP
3064 OLEANDER AVE
MERCED, CA 95340-2335
Phone number: 916-398-0828
Copy
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