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Individual

SUZANNE KAY FORSYTHE

Active
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Individual

SUZANNE KAY FORSYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R069132-5
MN
363LF0000X
Family Nurse Practitioner
R14864
ND

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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