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1518637164
KAILA SULLIVAN
HERMISTON, OR
NPI
1518637164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 202106596NP-PP)
Enumeration Date
2021-09-15
Last Update Date
2022-03-02
Business Address
KAILA SULLIVAN FNP
1050 W ELM AVE STE 110
HERMISTON, OR 97838-2713
Phone number: 541-567-2995
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Mailing Address
KAILA SULLIVAN FNP
620 NW 11TH ST STE 102
HERMISTON, OR 97838-6712
Phone number: 541-289-4118
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