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Individual
MS. SUSAN CHIYO MARTIN
Active
Individual
MS. SUSAN CHIYO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
58569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07585698
—
CO
Enumeration date
10/04/2006
Last updated
07/08/2007
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