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Individual

SUSAN JANE SHEEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5957 W RAMSEY ST, BANNING, CA 92220-3058
(951) 846-0313
Mailing address
PO BOX 10069, SUITE 101, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
(760) 777-4096

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
383824
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP6910
CA

Other

Enumeration date
12/20/2010
Last updated
07/19/2016
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