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1053735639
AMY SULLIVAN
CABOT, AR
NPI
1053735639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004030)
Enumeration Date
2014-02-18
Last Update Date
2018-06-16
Business Address
-- AMY SULLIVAN
5830 HIGHWAY 5
CABOT, AR 72023-7328
Phone number: 501-941-1376
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Mailing Address
-- AMY SULLIVAN
117 S 2ND ST PO BOX 497
AUGUSTA, AR 72006-2309
Phone number: 870-347-2534
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