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1356965701
CASEY MARIE SULLIVAN
LOUISVILLE, KY
NPI
1356965701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 3014816)
Enumeration Date
2020-06-02
Last Update Date
2020-08-04
Business Address
CASEY MARIE SULLIVAN CRNA
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1735
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Mailing Address
CASEY MARIE SULLIVAN CRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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