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1528613734
COLBY KEITH SULLIVAN
PENSACOLA, FL
NPI
1528613734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11002698)
Enumeration Date
2019-08-05
Last Update Date
2022-01-04
Business Address
COLBY KEITH SULLIVAN ACNP
5149 N 9TH AVE
PENSACOLA, FL 32504-8756
Phone number: 850-479-7200
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Mailing Address
COLBY KEITH SULLIVAN ACNP
PO BOX 11982
PENSACOLA, FL 32524-1982
Phone number: 850-479-1805
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