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Individual
SUSAN G. MARSHALL
Active
Individual
SUSAN G. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00019237
WA
2080P0214X
Pediatric Pulmonology Physician
Primary
MD00019237
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8453102
—
WA
Enumeration date
11/28/2006
Last updated
05/14/2008
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