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1568418242
MICHAEL A SULLIVAN
TYLER, TX
NPI
1568418242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2006-05-25
Last Update Date
2022-10-27
Business Address
MICHAEL A SULLIVAN PA
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500
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Mailing Address
MICHAEL A SULLIVAN PA
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500
Copy
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