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1386010379
AMANDA SULLIVAN
FLOWOOD, MS
NPI
1386010379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R882573)
Enumeration Date
2015-08-13
Last Update Date
2016-01-19
Business Address
Mrs. AMANDA SULLIVAN CFNP
1020 RIVER OAKS DR STE 310
FLOWOOD, MS 39232-9512
Phone number: 601-932-5006
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Mailing Address
Mrs. AMANDA SULLIVAN CFNP
1020 RIVER OAKS DR 310
FLOWOOD, MS 39232-9512
Phone number: 601-932-5006
Copy
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