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1518153543
KELSEY GRACE SULLIVAN
TACOMA, WA
NPI
1518153543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
Ms. KELSEY GRACE SULLIVAN PA-C
1709 DOCK ST
TACOMA, WA 98402-3204
Phone number: 253-682-1710
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Mailing Address
Ms. KELSEY GRACE SULLIVAN PA-C
5337 NE 33RD AVE
PORTLAND, OR 97211-7401
Phone number: 503-730-7636
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