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1518378967
ELIZABETH ANNE SULLIVAN
DURANT, OK
NPI
1518378967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OK New)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
Mr. ELIZABETH ANNE SULLIVAN
615 N 4TH AVE
DURANT, OK 74701-3907
Phone number: 580-775-3083
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Mailing Address
Mr. ELIZABETH ANNE SULLIVAN
615 N 4TH AVE
DURANT, OK 74701-3907
Phone number: 580-775-3083
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