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Callista M Susen
Technician/Technologist in Fayetteville, North Carolina
NPI 1174293583

Callista M Susen is a Technician/Technologist based in Fayetteville, NC. Callista M Susen practices in Fayetteville, NC. The NPI Number for Callista M Susen is 1174293583 and holds a License No. RBT-21-167101 (North Carolina).

The current practice location address for Callista M Susen is 6985 Nexus Ct Ste 107, Fayetteville, NC and can be reached out via phone at 910-493-3999 and via fax at 910-728-4644.

Location: 6985 Nexus Ct Ste 107, Fayetteville, NC, 28304-3186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174293583
Provider Name
Callista M Susen
Credential
Provider Entity Type
Individual
Gender
Female
Address
6985 Nexus Ct Ste 107, Fayetteville, NC, 28304-3186
Phone Number
910-493-3999
Fax Number
910-728-4644
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09162021 05 FL
institution
Provider Business Practice Location Address Details
Address
6985 Nexus Ct Ste 107
City
Fayetteville
State
North Carolina
Zip
28304-3186
Phone Number
910-493-3999
Fax Number
910-728-4644
person
Provider Business Mailing Address Details
Address
6985 Nexus Ct Ste 107
City
Fayetteville
State
North Carolina
Zip
28304-3186
Phone Number
910-493-3999
Fax Number
910-728-4644
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
RBT-21-167101 (North Carolina)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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