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1053311472
MATTHEW RYAN SULLIVAN
PRESCOTT, AZ
NPI
1053311472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1102)
Enumeration Date
2005-07-28
Last Update Date
2014-01-02
Business Address
Dr. MATTHEW RYAN SULLIVAN OD
980 WILLOW CREEK ROAD SUITE 202
PRESCOTT, AZ 86301-1610
Phone number: 928-778-3937
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Mailing Address
Dr. MATTHEW RYAN SULLIVAN OD
980 WILLOW CREEK ROAD SUITE 202
PRESCOTT, AZ 86301-1610
Phone number: 928-778-3937
Copy
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