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1821098104
MICHAEL J. SULLIVAN
LAS VEGAS, NV
NPI
1821098104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NV PA536)
Enumeration Date
2005-07-28
Last Update Date
2010-09-30
Business Address
Mr. MICHAEL J. SULLIVAN M.S., P.A.-C
112 S JONES BLVD
LAS VEGAS, NV 89107-2614
Phone number: 702-838-7110
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Mailing Address
Mr. MICHAEL J. SULLIVAN M.S., P.A.-C
112 S JONES BLVD
LAS VEGAS, NV 89107-2614
Phone number: 702-838-7110
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