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SUSAN GAUNT RN

Community Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1083831648

Individual Registrant:
 SUSAN  GAUNT RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5225 NORTH LAKE BLVD  CARNELIAN BAY, CA 96140 US
Tel: 530-546-1981  Fax: --

Contact information for business:
11762 HIGHLAND AVE  TRUCKEE, CA 96161-1714 US
Tel: 530-587-2703  Fax: --

Registration Information:
NPI: 1083831648
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1500XNursing Service Providers
Registered Nurse
Community Health
CA412733

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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