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Individual
SUZETTE MAIGAN
Active
Individual
SUZETTE MAIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
PN276845
PA
164W00000X
Licensed Practical Nurse
Primary
PN276845
PA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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