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1396836714
DEBRA SULLIVAN
DERBY, CT
NPI
1396836714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CT 001807)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
DEBRA SULLIVAN PA
130 DIVSIION STREET
DERBY, CT 06418
Phone number: 203-732-7403
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Mailing Address
DEBRA SULLIVAN PA
130 DIVSIION STREET
DERBY, CT 06418
Phone number:
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