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Individual
SUSAN DEBORAH BAILEY
Active
Individual
SUSAN DEBORAH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG0000123
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000896242
—
DE
01
—
169331
COVENTRY
DE
Enumeration date
08/11/2005
Last updated
03/17/2008
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