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Individual

MRS. SUSAN ANN DRAGOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN WHNP/FNP-BC

Contact information

Practice address
1100 W. STEWART DR., ORANGE, CA 92868-5600
(714) 771-8000
(714) 744-8571
Mailing address
1100 W. STEWART DR., ORANGE, CA 92868-5600
(714) 771-8000
(714) 744-8571

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN305899
CA
363LF0000X
Family Nurse Practitioner
9519
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
9519
CA

Other

Enumeration date
11/25/2014
Last updated
11/25/2014
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