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1518150887
JOACHIM ANDREW SULLIVAN
TEMPLE, TX
NPI
1518150887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX m5947)
Enumeration Date
2007-08-21
Last Update Date
2020-11-06
Business Address
Mr. JOACHIM ANDREW SULLIVAN md
2401 S 31ST ST
TEMPLE, TX 76508-0002
Phone number: 254-724-4071
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Mailing Address
Mr. JOACHIM ANDREW SULLIVAN md
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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