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Individual

SUSAN CHERYL BURNETT-HAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
821 TEXAS AVE, LOS BANOS, CA 93635-3453
(209) 826-1045
(209) 826-0952
Mailing address
737 WEST CHILDS AVENUE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2216
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190165
RN#
CA
01
2216
NP FURNISHER#
CA
Enumeration date
06/29/2007
Last updated
07/08/2007
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