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1588146336
MICHAEL O'SULLIVAN
ROSEBURG, OR
NPI
1588146336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201807279RN)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
MICHAEL O'SULLIVAN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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Mailing Address
MICHAEL O'SULLIVAN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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