Susan Lynn Gustin

NPI 1720191794 - Adult Companion - 372600000X

NPI Details
NPI 1720191794
Gender Female
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3847 PINE GROVE AVE
SUITE B
FORT GRATIOT MI, 48059-4265, US
Phone (810) 984-2250
Fax
Business Location
2615 W WATER ST
PORT HURON MI, 48060-7743, US
Phone (810) 984-8823
Fax
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Susan Lynn Gustin NPI is 1720191794, taxonomy code is 372600000X Susan Lynn Gustin physically located at 3847 Pine Grove Ave, Fort Gratiot MI, 48059-4265. NPI Number Susan Lynn Gustin has the Individual type.

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1720191794 NPI number is provided on an as is basis without warranty of any kind. 1720191794 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Lynn Gustin are for informational purposes only.