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1477592988
SCOTT F SULLIVAN
PROVIDENCE, RI
NPI
1477592988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA00259)
Enumeration Date
2006-06-06
Last Update Date
2016-07-19
Business Address
-- SCOTT F SULLIVAN PA
118 DUDLEY ST
PROVIDENCE, RI 02905-2403
Phone number: 401-273-4155
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Mailing Address
-- SCOTT F SULLIVAN PA
118 DUDLEY ST SUITE 400
PROVIDENCE, RI 02905-2403
Phone number: 401-273-4155
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