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1811777105
ALYSE MARIE SULLIVAN
ANTIOCH, TN
NPI
1811777105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SW0102X Clinical Nurse Specialist, Women's Health
(Licence: NC SULL-MEKDS)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
ALYSE MARIE SULLIVAN NP
950 BRITTANY PARK DR APT 423
ANTIOCH, TN 37013-5065
Phone number: 530-848-2648
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Mailing Address
ALYSE MARIE SULLIVAN NP
950 BRITTANY PARK DR APT 423
ANTIOCH, TN 37013-5065
Phone number: 530-848-2648
Copy