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1235556762
GARY SULLIVAN
LAS CRUCES, NM
NPI
1235556762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-03-21
Last Update Date
2015-10-19
Business Address
-- GARY SULLIVAN
602 WEINRICH RD TRLR 6
LAS CRUCES, NM 88007-4857
Phone number: 575-405-6989
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Mailing Address
-- GARY SULLIVAN
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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