Susan Gentry, CCP
Susan Gentry, CCP is a Perfusionist in Mesa, Arizona. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
2753 E Broadway Rd # 101-454Mesa, AZ 85204-1579
Phone: (480) 659-6964
Fax: (480) 659-6791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X |
|---|
Record details
| NPI number | 1811327174 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCP |
| Sole proprietor | No |
| NPI enumerated | November 22, 2013 |
| Last updated in NPPES | November 22, 2013 |
| Mailing address | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 |
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