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1154918092
MIKAELYN SULLIVAN
DALLAS, TX
NPI
1154918092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0996096-NP)
Enumeration Date
2020-12-27
Last Update Date
2021-11-23
Business Address
MIKAELYN SULLIVAN
4055 VALLEY VIEW LN STE 400
DALLAS, TX 75244-5071
Phone number: 972-715-3800
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Mailing Address
MIKAELYN SULLIVAN
940 CENTRAL PARK DR STE 101
STEAMBOAT SPRINGS, CO 80487-8853
Phone number: 972-715-3800
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