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Individual

SUSAN E PERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
HIGHWAY 264 MILE POST 388, POLACCA, AZ 86041
(928) 737-6000
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
079840-21
NH

Other

Enumeration date
02/09/2023
Last updated
02/09/2023
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