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Individual
SUSAN SANTOS
Active
Individual
SUSAN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9797
CA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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