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Individual
SUSAN PHAM
Active
Individual
SUSAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11002867
FL
363LF0000X
Family Nurse Practitioner
Primary
11002867
FL
Other
Enumeration date
07/02/2019
Last updated
02/19/2025
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