Individual
SUSANNA R PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, SAINT GEORGE, UT 84770-4505
(435) 634-5660
Mailing address
423 S 900 E, APT. E-3, SAINT GEORGE, UT 84770-3866
(435) 229-0930
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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