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1952188062
SUSAN WANG
TUSTIN, CA
NPI
1952188062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95027424)
Enumeration Date
2023-09-12
Last Update Date
2023-10-31
Business Address
SUSAN WANG FNP-BC
17612 17TH ST STE 101
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
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Mailing Address
SUSAN WANG FNP-BC
17612 17TH ST STE 101
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
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