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SUSAN RAE AULT FNP 1790777100

Overview
Name: SUSAN RAE AULT FNP Specialty: General Practice Registered Nurse Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Nursing Service Providers Classification: Registered Nurse Specialization: General Practice. Definition of Specialty: Definition to come…
License & NPI
License #(s): 083045668RN, 200450018NP, 200570025CNS, 14768, License State(s): OR, OR, OR, CA,
Addresses
Practice Location: 2830 EAST ST,ANDERSON,CA,960073408,US Mailing Address: 2830 EAST ST,ANDERSON,CA,960073408,US
Contact #
Practice location phone #: 5303652545 Practice location fax #: 5303653871 Mailing address Phone #: 5303652545 Mailing Address fax #: 5303653871 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/22/2005 Last data data was updated: 05/31/2016 Insurances:

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