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1073849089
JESSICA SULLIVAN
NEWARK, NY
NPI
1073849089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013672)
Enumeration Date
2009-10-26
Last Update Date
2010-07-28
Business Address
-- JESSICA SULLIVAN PA
1200 DRIVING PARK AVE
NEWARK, NY 14513-1057
Phone number: 315-332-2290
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Mailing Address
-- JESSICA SULLIVAN PA
1200 DRIVING PARK AVE
NEWARK, NY 14513-1057
Phone number:
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