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1841814456
TARA ROBERTA SULLIVAN
DEARBORN, MI
NPI
1841814456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: MI 4704245099)
Enumeration Date
2020-05-31
Last Update Date
2020-05-31
Business Address
Mrs. TARA ROBERTA SULLIVAN RN,IBCLC,LCCE
24808 BOSTON ST
DEARBORN, MI 48124-4411
Phone number: 313-618-4206
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Mailing Address
Mrs. TARA ROBERTA SULLIVAN RN,IBCLC,LCCE
24808 BOSTON ST
DEARBORN, MI 48124-4411
Phone number: 313-618-4206
Copy
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