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Individual

SUSAN LASHAWN RAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
293 MAIN ST, YANCEYVILLE, NC 27379-8781
(336) 694-1924
Mailing address
293 MAIN ST, YANCEYVILLE, NC 27379-8781
(336) 694-1924

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138947
NC
163WG0000X
General Practice Registered Nurse
138947
NC
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
138947
NC

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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