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1073529582
LAURIE SULLIVAN
TAMPA, FL
NPI
1073529582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2153932)
Enumeration Date
2006-08-01
Last Update Date
2014-06-12
Business Address
-- LAURIE SULLIVAN ARNP
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
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Mailing Address
-- LAURIE SULLIVAN ARNP
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number:
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