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1326476961
BRADLEY ROY SULLIVAN
PHOENIX, AZ
NPI
1326476961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2002024401)
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
-- BRADLEY ROY SULLIVAN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
-- BRADLEY ROY SULLIVAN
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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