LOUIS SULLY

OMAHA, NE
NPI1346212966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NE  895)
Enumeration Date2006-02-07
Last Update Date2016-01-19
Business Address
LOUIS SULLY PA
720 N 129TH ST
OMAHA, NE 68154-6109
Phone number: 402-397-0670
Mailing Address
LOUIS SULLY PA
720 N 129TH ST
OMAHA, NE 68154-6109
Phone number: 402-397-0670
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