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1083712228
MARY SULLIVAN
SAINT PAUL, MN
NPI
1083712228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: MN LP3263)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- MARY SULLIVAN LP
2550 UNIVERSITY AVE W SUITE 310N
SAINT PAUL, MN 55114-1052
Phone number: 651-379-5157
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Mailing Address
-- MARY SULLIVAN LP
1008 31ST AVE N
MINNEAPOLIS, MN 55411-1329
Phone number: 612-529-4311
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