PRISCILLA JANE SULLIVAN

MATTOON, IL
NPI1164589826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-01-02
Last Update Date2009-03-19
Business Address
-- PRISCILLA JANE SULLIVAN MHP
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Mailing Address
-- PRISCILLA JANE SULLIVAN MHP
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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