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1063157717
THADDEUS JOSEPH SULLIVAN
ELMIRA, NY
NPI
1063157717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
Dr. THADDEUS JOSEPH SULLIVAN DO
600 ROE AVE
ELMIRA, NY 14905-1629
Phone number: 607-442-1713
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Mailing Address
Dr. THADDEUS JOSEPH SULLIVAN DO
111 CHAPEL VW
CLINTON, NY 13323-3958
Phone number:
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