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Individual
SUSANNA AVANESYAN
Active
Individual
SUSANNA AVANESYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T0708
TX
Other
Enumeration date
04/02/2018
Last updated
07/21/2021
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