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1144217530
CHARLES M SULLIVAN
OVERLAND PARK, KS
NPI
1144217530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 0425276)
Enumeration Date
2005-09-30
Last Update Date
2022-01-28
Business Address
Dr. CHARLES M SULLIVAN M.D.
10100 W 119TH ST SUITE 150
OVERLAND PARK, KS 66213-1604
Phone number: 913-754-0061
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Mailing Address
Dr. CHARLES M SULLIVAN M.D.
PO BOX 741331
ATLANTA, GA 30374-1331
Phone number: 913-469-0503
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