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1093056038
MARY SULLIVAN JOLLY
CADIZ, KY
NPI
1093056038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007943)
Enumeration Date
2013-03-14
Last Update Date
2013-05-01
Business Address
-- MARY SULLIVAN JOLLY APRN, FNP-BC
250 MAIN STREET, SUITE E
CADIZ, KY 42211
Phone number: 270-522-6963
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Mailing Address
-- MARY SULLIVAN JOLLY APRN, FNP-BC
PO BOX 2140
CADIZ, KY 42211-2140
Phone number: 270-522-6963
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