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Individual
SUSAN C ENGESETH
Active
Individual
SUSAN C ENGESETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1840-033
WI
364S00000X
Clinical Nurse Specialist
Primary
1840-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1540
DEAN HEALTH INSURANCE
WI
05
—
43881000
—
WI
Enumeration date
04/17/2006
Last updated
05/07/2009
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