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1083714125
STEPHEN E. SULLIVAN
BATESVILLE, MS
NPI
1083714125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MS 2841-94)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
DR. STEPHEN E. SULLIVAN D.D.S
160 CRACKER BARREL DR
BATESVILLE, MS 38606-3031
Phone number: 662-563-7821
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Mailing Address
DR. STEPHEN E. SULLIVAN D.D.S
PO BOX 1200
BATESVILLE, MS 38606-1200
Phone number: 662-563-7821
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