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1194076620
KRISTIN MARIE SULLIVAN
BOSTON, MA
NPI
1194076620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA4454)
Enumeration Date
2012-09-24
Last Update Date
2017-01-10
Business Address
Mrs. KRISTIN MARIE SULLIVAN PA-C
125 PARKER HILL AVE CONVERSE 4
BOSTON, MA 02120-2847
Phone number: 617-754-6025
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Mailing Address
Mrs. KRISTIN MARIE SULLIVAN PA-C
125 PARKER HILL AVE CONVERSE 4
BOSTON, MA 02120-2847
Phone number: 617-754-6025
Copy
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