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1740650167
MICHAEL SULLIVAN
RICHMOND, VA
NPI
1740650167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024172854)
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
-- MICHAEL SULLIVAN PMHNP-BC
517 W GRACE ST
RICHMOND, VA 23220-4911
Phone number: 804-783-2505
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Mailing Address
-- MICHAEL SULLIVAN PMHNP-BC
517 W GRACE ST
RICHMOND, VA 23220-4911
Phone number: 804-783-2505
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