GEORGE BLAKE SULLIVAN

BREMERTON, WA
NPI1225671720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: WA  AP61014314)
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
GEORGE BLAKE SULLIVAN
400 WARREN AVE STE 200
BREMERTON, WA 98337-1467
Phone number: 360-377-3776
Mailing Address
GEORGE BLAKE SULLIVAN
16310 REITAN RD NE
BAINBRIDGE ISLAND, WA 98110-3047
Phone number:
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