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1427549088
KELLY ELIZABETH SULLIVAN
VERNON, CT
NPI
1427549088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CT 390200000X)
Enumeration Date
2018-05-19
Last Update Date
2018-05-19
Business Address
KELLY ELIZABETH SULLIVAN AGNP-C
428 HARTFORD TPKE STE 207
VERNON, CT 06066-4841
Phone number: 860-872-5426
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Mailing Address
KELLY ELIZABETH SULLIVAN AGNP-C
428 HARTFORD TPKE STE 207
VERNON, CT 06066-4841
Phone number:
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