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1578568010
JULIE GAIL SULLIVAN
BROKEN ARROW, OK
NPI
1578568010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics Adolescent Medicine
(Licence: OK 23824)
Enumeration Date
2005-06-20
Last Update Date
2017-01-24
Business Address
JULIE GAIL SULLIVAN M.D.
1615 S EUCALYPTUS AVE SUITE 210
BROKEN ARROW, OK 74012-6159
Phone number: 918-254-6822
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Mailing Address
JULIE GAIL SULLIVAN M.D.
1615 S EUCALYPTUS AVE SUITE 210
BROKEN ARROW, OK 74012-6159
Phone number: 918-254-6822
Copy
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