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1255342028
JOHN V. SULLIVANT
MOUNTAIN HOME, AR
NPI
1255342028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR AR2788)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. JOHN V. SULLIVANT DDS,PA
727 N CARDINAL DR
MOUNTAIN HOME, AR 72653-3253
Phone number: 870-425-4242
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Mailing Address
Dr. JOHN V. SULLIVANT DDS,PA
727 N CARDINAL DR
MOUNTAIN HOME, AR 72653-3253
Phone number: 870-425-4242
Copy
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