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1518978931
KENTON R SULLIVAN
LINCOLN, NE
NPI
1518978931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NE 20751)
Enumeration Date
2006-08-10
Last Update Date
2008-05-19
Business Address
-- KENTON R SULLIVAN MD
1600 S 48TH ST ER DEPT
LINCOLN, NE 68506
Phone number: 402-489-0200
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Mailing Address
-- KENTON R SULLIVAN MD
PO BOX 81406
LINCOLN, NE 68501
Phone number: 800-678-7672
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