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1164570750
MARY ELLEN SULLIVAN
SANTA ROSA, CA
NPI
1164570750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 319435)
Enumeration Date
2007-01-08
Last Update Date
2014-09-10
Business Address
-- MARY ELLEN SULLIVAN
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4970
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Mailing Address
-- MARY ELLEN SULLIVAN
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number:
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