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NPI Profile for SUSAN D PRIDDY in MILBURN, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI # | 1184863565 |
|
| Status | Active | |
| Credentials | RN, WCC | |
| Entity | Individual | |
| Enumeration date | 02/09/2009 | |
| Last updated | 02/09/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN D PRIDDY
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SUSAN D PRIDDY, RN, WCC