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1306812086
MARYELLEN SULLIVAN
WALTHAM, MA
NPI
1306812086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA 142612)
Enumeration Date
2006-02-23
Last Update Date
2015-09-17
Business Address
-- MARYELLEN SULLIVAN NP
950 WINTER STREET
WALTHAM, MA 02451
Phone number: 781-472-8787
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Mailing Address
-- MARYELLEN SULLIVAN NP
1200 CENTRE ST DEPT. OF MEDICINE
ROSLINDALE, MA 02131-1011
Phone number: 617-363-8010
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