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Individual

MRS. SANDRA MICHELLE SUDDUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E52898
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
9818
CT

Other

Enumeration date
07/26/2021
Last updated
08/22/2021
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