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1790762227
BRADLEY HUSE SULLIVAN
KANSAS CITY, MO
NPI
1790762227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MO R6C60)
Enumeration Date
2005-12-27
Last Update Date
2010-06-09
Business Address
-- BRADLEY HUSE SULLIVAN MD
6400 PROSPECT #598
KANSAS CITY, MO 64132-4128
Phone number: 816-444-6888
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Mailing Address
-- BRADLEY HUSE SULLIVAN MD
6400 PROSPECT AVE #598
KANSAS CITY, MO 64132-4128
Phone number: 816-444-6888
Copy
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