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Susan Park
NPI 1598117012 · on the registry since 2016 · sole proprietor
Practice
- Address
- 15131 E Crestline Ave
Centennial, CO 80015 - Phone
- (720) 289-2021
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado