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Individual

MRS. SUZAN NUSSEIBEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
3470 RIVER RAPIDS DR NW, COON RAPIDS, MN 55448-4101
(763) 427-1156
Mailing address
1125 CREEKWOOD DR N, CHAMPLIN, MN 55316-1650
(763) 291-8090

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123808
MN

Other

Enumeration date
12/02/2020
Last updated
12/31/2020
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