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1093122475
JENNIFER SULLIVAN
AUBURN, ME
NPI
1093122475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ME CNP141034)
Enumeration Date
2014-07-17
Last Update Date
2020-08-10
Business Address
JENNIFER SULLIVAN CNP
15 GRACELAWN RD STE 203
AUBURN, ME 04210-6344
Phone number: 207-777-8959
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Mailing Address
JENNIFER SULLIVAN CNP
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8950
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