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1912908344
SUSANNE T BAISCH
PORT ROYAL, SC
NPI
1912908344
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Former Name
FRANCES SUSANNE TUTTLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC APN 2105)
Enumeration Date
2005-08-09
Last Update Date
2014-02-18
Business Address
Mrs. SUSANNE T BAISCH FNP
1680B RIBAUT RD
PORT ROYAL, SC 29935-2008
Phone number: 843-521-9879
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Mailing Address
Mrs. SUSANNE T BAISCH FNP
1109 LAUREL ST
PORT ROYAL, SC 29935-1911
Phone number: 843-271-2713
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