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Individual

JESUS JOHN SUSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
18110 SE 34TH ST, VANCOUVER, WA 98683-9418
(800) 330-3665
Mailing address
5000 NE 42ND ST, VANCOUVER, WA 98661-4290
(503) 935-6740

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61468281
WA

Other

Enumeration date
12/28/2023
Last updated
12/28/2023
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