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1477864502
CRYSTAL SULLIVAN
JEFFERSON CITY, MO
NPI
1477864502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2010014089)
Enumeration Date
2010-06-23
Last Update Date
2024-08-08
Business Address
CRYSTAL SULLIVAN D.O.
1511 CHRISTY DR
JEFFERSON CITY, MO 65101-2854
Phone number: 573-632-2777
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Mailing Address
CRYSTAL SULLIVAN D.O.
3349 AMERICAN AVE STE C
JEFFERSON CITY, MO 65109-1079
Phone number: 573-632-0243
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