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Individual

SUSAN K PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.P.

Contact information

Practice address
838 E WOOSTER ST, BOWLING GREEN, OH 43402-2601
(419) 372-2271
(419) 372-8010
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1637
(419) 353-7069
(419) 353-7076

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.01493-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2354198
OH
Enumeration date
03/22/2006
Last updated
05/10/2016
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