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Individual

DR. SUSAN JEAN QUAAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., APRN

Contact information

Practice address
GEORGE WAHLEN VA MEDICAL CENTER 500 FOOTHILL BOULE, CARDIOLOGY MAIL CODE 111-C, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-1251
Mailing address
274 B ST, SALT LAKE CITY, UT 84103-2512
(801) 363-1228

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2005594405
UT

Other

Enumeration date
06/25/2006
Last updated
10/24/2011
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