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1992354625
SUSAN SHANAHAN KOSTECKI
CARMICHAEL, CA
NPI
1992354625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA 7881)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
SUSAN SHANAHAN KOSTECKI Rn, CNNP
6501 COYLE AVE
CARMICHAEL, CA 95608-0306
Phone number: 916-537-5135
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Mailing Address
SUSAN SHANAHAN KOSTECKI Rn, CNNP
2221 RAINTREE CT
ROCKLIN, CA 95765-4653
Phone number: 916-276-8942
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