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Individual

MS. SUSAN BETH CLEARWATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., B.S.N.

Contact information

Practice address
2401 N WALNUT ST, BLOOMINGTON, IN 47404-2069
(812) 335-0640
(812) 333-0961
Mailing address
2401 N WALNUT ST, BLOOMINGTON, IN 47404-2069
(812) 335-0640
(812) 333-0961

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28103070A
IN

Other

Enumeration date
04/10/2010
Last updated
04/10/2010
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