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1356584379
THEA DELORA SULLIVAN
MARIETTA, GA
NPI
1356584379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: GA RN196107)
Enumeration Date
2009-04-07
Last Update Date
2009-04-07
Business Address
Miss THEA DELORA SULLIVAN RN
3628 RIVER HEIGHTS XING SE
MARIETTA, GA 30067-4870
Phone number: 770-272-0716
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Mailing Address
Miss THEA DELORA SULLIVAN RN
3628 RIVER HEIGHTS XING SE
MARIETTA, GA 30067-4870
Phone number: 770-272-0716
Copy
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