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Individual

MRS. SUSAN MARIE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 997-1515
Mailing address
3 BETTY'S PAST, WEST YARMOUTH, MA 02673
(508) 362-0679

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211247
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN211247
MA

Other

Enumeration date
04/18/2017
Last updated
06/02/2020
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