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1124256771
CRYSTAL F SULLIVAN
MIAMI, FL
NPI
1124256771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103646)
Enumeration Date
2009-06-22
Last Update Date
2015-01-27
Business Address
Ms. CRYSTAL F SULLIVAN PA-C
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number: 305-666-6511
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Mailing Address
Ms. CRYSTAL F SULLIVAN PA-C
13030 SW 143RD TER
MIAMI, FL 33186-8397
Phone number: 305-971-2354
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