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Individual
SUSAN RAE MCCORD
Active
Individual
SUSAN RAE MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
79620
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
AP138089
TX
Other
Enumeration date
05/25/2018
Last updated
11/16/2018
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