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1689707515
MICHAEL D SULLIVAN
COPPELL, TX
NPI
1689707515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00024)
Enumeration Date
2007-03-13
Last Update Date
2024-10-14
Business Address
MICHAEL D SULLIVAN PA
705 MAIN ST
COPPELL, TX 75019-4742
Phone number: 972-304-6400
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Mailing Address
MICHAEL D SULLIVAN PA
705 MAIN ST
COPPELL, TX 75019-4742
Phone number: 972-304-6400
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