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1013985134
JOHN A. SULLIVAN
JACKSON, WY
NPI
1013985134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO R6F03)
Enumeration Date
2006-03-14
Last Update Date
2009-09-10
Business Address
-- JOHN A. SULLIVAN M.D.
7330 RYEGRASS ROAD
JACKSON, WY 83001
Phone number: 307-733-9105
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Mailing Address
-- JOHN A. SULLIVAN M.D.
1550 E REPUBLIC RD
SPRINGFIELD, MO 65804-6530
Phone number: 417-889-6102
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