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1376110676
MELISSA SULLIVAN
RUSTON, LA
NPI
1376110676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 220313)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
MELISSA SULLIVAN NP
1809 NORTHPOINTE LN STE 102
RUSTON, LA 71270-3852
Phone number: 318-255-3762
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Mailing Address
MELISSA SULLIVAN NP
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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