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1215019351
MICHAEL DURGIN SULLIVAN
WILMINGTON, NC
NPI
1215019351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NC 200101144)
Enumeration Date
2006-10-19
Last Update Date
2007-07-09
Business Address
Dr. MICHAEL DURGIN SULLIVAN M.D.
1814 GLEN MEADE RD
WILMINGTON, NC 28403-6023
Phone number: 910-254-3544
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Mailing Address
Dr. MICHAEL DURGIN SULLIVAN M.D.
1814 GLEN MEADE RD
WILMINGTON, NC 28403-6023
Phone number: 910-254-3544
Copy
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