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1619152915
TIMOTHY MARK SULLIVAN
MESA, AZ
NPI
1619152915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2008-01-04
Last Update Date
2008-11-05
Business Address
MR. TIMOTHY MARK SULLIVAN P.A.
9951 E EL MORO AVE
MESA, AZ 85208-5869
Phone number: 602-570-6428
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Mailing Address
MR. TIMOTHY MARK SULLIVAN P.A.
5432 E SOUTHERN AVE
MESA, AZ 85206-2772
Phone number: 480-325-3275
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