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Individual

MS. SUSAN BOCOCK RYALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
616462
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP616462
FL

Other

Enumeration date
08/04/2006
Last updated
05/09/2011
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