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1639837099
KIMBERLY KAY SULLIVAN
POTEAU, OK
NPI
1639837099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0040317)
Enumeration Date
2021-12-02
Last Update Date
2022-04-07
Business Address
KIMBERLY KAY SULLIVAN APRN, FNP-C
1001 N BROADWAY ST
POTEAU, OK 74953-2609
Phone number: 918-649-0731
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Mailing Address
KIMBERLY KAY SULLIVAN APRN, FNP-C
550 COUNTRY CLUB RD
POTEAU, OK 74953-5219
Phone number: 417-848-7976
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