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Individual

SUSAN F DIMASSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5319 HOAG DRIVE, ELYRIA, OH 44035-1494
(440) 930-6050
(440) 934-8882
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-2802
(636) 549-2380
(314) 569-5974

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
42507
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.03829-NA
OH

Other

Enumeration date
12/06/2006
Last updated
02/10/2010
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