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1851138093
SUSAN FON
FAIRFIELD, CA
NPI
1851138093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95025405)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
SUSAN FON
2631 SILVERTHORNE ST
FAIRFIELD, CA 94533-7176
Phone number: 240-780-1857
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Mailing Address
SUSAN FON
2631 SILVERTHORNE ST
FAIRFIELD, CA 94533-7176
Phone number: 240-780-1857
Copy
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