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1093908188
STEVE T SULLIVAN
FARMINGTON, NM
NPI
1093908188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH2897)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
STEVE T SULLIVAN RDH
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
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Mailing Address
STEVE T SULLIVAN RDH
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
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