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1760519698
MISHA SULLIVAN
MANCHESTER, NH
NPI
1760519698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NH 0845)
Enumeration Date
2007-02-27
Last Update Date
2011-09-30
Business Address
Mrs. MISHA SULLIVAN PA-C, ATC
185 QUEEN CITY AVE
MANCHESTER, NH 03101-7121
Phone number: 603-625-1655
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Mailing Address
Mrs. MISHA SULLIVAN PA-C, ATC
185 QUEEN CITY AVE
MANCHESTER, NH 03101-7121
Phone number:
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