KEVIN SULLIVAN

PROVIDENCE, RI
NPI1568880912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: RI  RN34014)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
-- KEVIN SULLIVAN RN
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
Mailing Address
-- KEVIN SULLIVAN RN
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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