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1679703425
JOHN MICHAEL SULLIVAN
JACKSONVILLE, FL
NPI
1679703425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL dn18659)
Enumeration Date
2009-07-14
Last Update Date
2012-12-18
Business Address
Dr. JOHN MICHAEL SULLIVAN D.M.D, M.S.
9770 OLD BAYMEADOWS RD STE 113
JACKSONVILLE, FL 32256-7986
Phone number: 904-636-8999
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Mailing Address
Dr. JOHN MICHAEL SULLIVAN D.M.D, M.S.
9770 OLD BAYMEADOWS RD STE 113
JACKSONVILLE, FL 32256-7986
Phone number: 904-636-8999
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