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SUSAN WASEM

NPI Number 1356625750

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Practice Location

  • 2708 Ne 14th St Apt 5
    Pompano Beach, FL 33062
  • Phone: (888) 880-9270
  • Fax:

Business Location

  • 10569 Shelby Ln
    Gloucester, VA 23061
  • Phone:
  • Fax:

Other Information

  • Enumeration date: 10/04/2011
  • Last updat date: 10/04/2011
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 222Q00000X
  • License number:
  • License number state code:
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1356625750 is assigned to Susan Wasem. Susan Wasem is practice in Pompano Beach, FL 33062 with phone number . The number of page view of Susan Wasem is 28.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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