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Individual
MS. SUSAN MICHELLE MOULTRIE
Active
Individual
MS. SUSAN MICHELLE MOULTRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12560
CA
Other
Enumeration date
10/04/2011
Last updated
10/31/2024
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