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Individual
SUSAN LEE WATKINS
Active
Individual
SUSAN LEE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
548208
TX
164W00000X
Licensed Practical Nurse
548208
TX
363LF0000X
Family Nurse Practitioner
Primary
548208
TX
Other
Enumeration date
10/25/2005
Last updated
05/11/2016
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