SALLY SULLIVAN

JACKSON, MS
NPI1609223205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R892793)
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
SALLY SULLIVAN CRNA
971 LAKELAND DR
JACKSON, MS 39216-4643
Phone number: 334-279-1450
Mailing Address
SALLY SULLIVAN CRNA
PO BOX 4608
JACKSON, MS 39296-4608
Phone number: 334-279-1450
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