ALICIA KIM SULLIVAN

EDWARDSVILLE, IL
NPI1477158905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  2093022275)
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
ALICIA KIM SULLIVAN NP
441 S STATE ROUTE 157 STE 102
EDWARDSVILLE, IL 62025-4017
Phone number: 618-254-2273
Mailing Address
ALICIA KIM SULLIVAN NP
441 S STATE ROUTE 157 STE 102
EDWARDSVILLE, IL 62025-4017
Phone number: 618-254-2273
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