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1649954355
BRETT SULLIVAN
WILKES BARRE, PA
NPI
1649954355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA064655)
Enumeration Date
2023-06-13
Last Update Date
2023-09-26
Business Address
BRETT SULLIVAN
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-808-6000
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Mailing Address
BRETT SULLIVAN
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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