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Individual

SUZANNE KENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2645 OLD SAN JOSE RD, SOQUEL, CA 95073-9726
(831) 477-9069
Mailing address
2645 OLD SAN JOSE RD, SOQUEL, CA 95073-9726
(831) 477-9069

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10537
CA

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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