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1477750016
DENISE L SULLIVAN
FORT WORTH, TX
NPI
1477750016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: TX N0486)
Enumeration Date
2007-06-28
Last Update Date
2021-04-09
Business Address
DENISE L SULLIVAN MD
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
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Mailing Address
DENISE L SULLIVAN MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-6483
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