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1215379482
LISA CAROL SULLIVAN
CHARLESTON, WV
NPI
1215379482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV APRN63044NP)
Enumeration Date
2013-07-29
Last Update Date
2015-12-30
Business Address
-- LISA CAROL SULLIVAN FNP-BC
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-388-5432
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Mailing Address
-- LISA CAROL SULLIVAN FNP-BC
3200 MACCORKLE AVENUE
CHARLESTON, WV 25304
Phone number: 304-388-5590
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