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Individual

MRS. SUSAN GWYN KRESMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5141
(704) 853-5188
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5141
(704) 853-5188

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN111017
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7002075
NC
Enumeration date
10/03/2006
Last updated
02/07/2011
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