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1013321736
JEANETTA SULLIVAN
BUFFALO, NY
NPI
1013321736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 317937-1)
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
JEANETTA SULLIVAN
63 DAVIDSON AVE
BUFFALO, NY 14215-2305
Phone number: 716-907-6969
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Mailing Address
JEANETTA SULLIVAN
63 DAVIDSON AVE
BUFFALO, NY 14215-2305
Phone number: 716-907-6969
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