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Individual
MRS. SUSAN L VARGAS
Active
Individual
MRS. SUSAN L VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3451491
NY
163WP0200X
Pediatric Registered Nurse
354149
NY
164W00000X
Licensed Practical Nurse
141459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01512014
—
NY
Enumeration date
11/19/2007
Last updated
01/05/2012
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