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1740068253
JACQUELINE ROSE SULLIVAN
BALTIMORE, MD
NPI
1740068253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
Mrs. JACQUELINE ROSE SULLIVAN PA
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201-1756
Phone number: 724-422-2261
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Mailing Address
Mrs. JACQUELINE ROSE SULLIVAN PA
36525 KIDWELL RD
HILLSBORO, VA 20132-1701
Phone number: 724-422-2261
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