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Individual

KAREN R SUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RN CNS

Contact information

Practice address
624 S 13TH ST, RANGE MENTAL HEALTH CENTER INC, VIRGINIA, MN 55792
(218) 749-2881
(218) 749-3806
Mailing address
624 S 13TH ST, RANGE MENTAL HEALTH CENTER INC, VIRGINIA, MN 55792
(218) 749-2881
(218) 749-3806

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0854832
MN

Other

Enumeration date
09/26/2006
Last updated
07/08/2007
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