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1508006149
KATHY REBECCA SULLIVAN
SAN DIEGO, CA
NPI
1508006149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
Mrs. KATHY REBECCA SULLIVAN IDC
MSRON FIVE MEDICAL DEPARTMENT NOLF IB BUILDING 169
SAN DIEGO, CA 92135
Phone number: 619-437-9382
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Mailing Address
Mrs. KATHY REBECCA SULLIVAN IDC
MSRON FIVE MEDICAL DEPARTMENT NOLF IB BUILDING 169
SAN DIEGO, CA 92135
Phone number:
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