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1780987750
SULLIVAN PEDIATRICS, LLC
COLUMBIA, MO
NPI
1780987750
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Entity Type
Organization
Authorized Contact
JANET SULLIVAN
Medical Director
573-999-1657
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2009003022)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
SULLIVAN PEDIATRICS, LLC
2614 FORUM BLVD
COLUMBIA, MO 65203-5431
Phone number: 573-999-1657
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Mailing Address
SULLIVAN PEDIATRICS, LLC
2614 FORUM BLVD
COLUMBIA, MO 65203-5431
Phone number: 573-999-1657
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