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Individual

SUSAN MICHELLE MCMINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3704 YAKIMA AVE, TACOMA, WA 98418-5001
(253) 671-4407
Mailing address
2721 SUTHERLAND PL, STEILACOOM, WA 98388-4017
(253) 589-0529

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004540
WA

Other

Enumeration date
03/13/2009
Last updated
05/24/2011
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