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1063803740
TIYIKA JANAYE SULLIVAN
WINSTON SALEM, NC
NPI
1063803740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 5007480)
Enumeration Date
2015-02-17
Last Update Date
2021-10-13
Business Address
Dr. TIYIKA JANAYE SULLIVAN Nurse Practitioner
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114
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Mailing Address
Dr. TIYIKA JANAYE SULLIVAN Nurse Practitioner
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-0000
Phone number: 336-251-1114
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