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1215075841
TERRI ANN SULLIVAN-MACIAS
ANAHEIM, CA
NPI
1215075841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA11279)
Enumeration Date
2007-02-04
Last Update Date
2007-07-08
Business Address
Ms. TERRI ANN SULLIVAN-MACIAS PA-C
1723 W BALL RD
ANAHEIM, CA 92804-5502
Phone number: 714-635-0363
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Mailing Address
Ms. TERRI ANN SULLIVAN-MACIAS PA-C
9888 RAVARI DR
CYPRESS, CA 90630-3553
Phone number: 714-827-1327
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