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1518298249
MALIN SULLIVAN
SAN JOSE, CA
NPI
1518298249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20730)
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
-- MALIN SULLIVAN
225 N JACKSON AVE
SAN JOSE, CA 95116-1603
Phone number: 408-259-5000
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Mailing Address
-- MALIN SULLIVAN
710 DEL VALLE
APTOS, CA 95003-9506
Phone number: 831-430-6426
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