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1609372424
LONNIE THOMAS SULLIVAN
DURHAM, NC
NPI
1609372424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
LONNIE THOMAS SULLIVAN
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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Mailing Address
LONNIE THOMAS SULLIVAN
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
Copy
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