BRADLEY ROY SULLIVAN

PHOENIX, AZ
NPI1326476961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MO  2002024401)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
-- BRADLEY ROY SULLIVAN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- BRADLEY ROY SULLIVAN
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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