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1174791743
KATHRYN ANN SULLIVAN
PLACERVILLE, CA
NPI
1174791743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP265192)
Enumeration Date
2008-02-15
Last Update Date
2012-02-13
Business Address
Mrs. KATHRYN ANN SULLIVAN NP
1095 MARSHALL WAY 2ND FLOOR
PLACERVILLE, CA 95667-5722
Phone number: 530-626-6155
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Mailing Address
Mrs. KATHRYN ANN SULLIVAN NP
PO BOX 45680
SAN FRANCISCO, CA 94145-0680
Phone number: 530-626-2919
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