Individual
MRS. SUSAN MCKOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
111 GOODRICH CT, CHARDON, OH 44024
(440) 286-0481
Mailing address
111 GOODRICH CT, CHARDON, OH 44024
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
OH3179143
OH
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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