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1841542941
CARLA SULLIVAN
PADUCAH, KY
NPI
1841542941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KY 3007730)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
Mrs. CARLA SULLIVAN APRN
2601 KENTUCKY AVE SUITE 300
PADUCAH, KY 42003-3817
Phone number: 270-443-5564
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Mailing Address
Mrs. CARLA SULLIVAN APRN
2601 KENTUCKY AVE SUITE 300
PADUCAH, KY 42003-3817
Phone number: 270-443-5564
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