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Individual

MRS. SUSAN ELAINE NEWBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
30519 NW 100TH AVE, PRATT, KS 67124-7816
(620) 895-6494
(620) 895-6494
Mailing address
30519 NW 100TH AVE, PRATT, KS 67124-7816
(620) 895-6494
(620) 895-6494

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
466
KS

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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