Susan Lynn Gustin

NPI #1720191794 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1720191794
Entity Type: Individual
Name: Susan Lynn Gustin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3847 PINE GROVE AVE
Address 2: SUITE B
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-4265
Phone: (810) 984-2250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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