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Individual
SUSAN RENE BORTON
Active
Individual
SUSAN RENE BORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704163826
MI
Other
Enumeration date
11/26/2005
Last updated
07/08/2007
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