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1821169228
SUSAN ANN CROCKETT
LIVE OAK, TX
NPI
1821169228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX J7770)
Enumeration Date
2006-11-10
Last Update Date
2023-05-04
Business Address
SUSAN ANN CROCKETT M.D.
12602 TOEPPERWEIN RD STE 208
LIVE OAK, TX 78233-3271
Phone number: 210-878-0090
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Mailing Address
SUSAN ANN CROCKETT M.D.
12602 TOEPPERWEIN RD STE 208
LIVE OAK, TX 78233-3271
Phone number: 210-878-0090
Copy
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