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1851088561
CHASITY RENAE SULLIVAN
FORT SMITH, AR
NPI
1851088561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR 223808)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
CHASITY RENAE SULLIVAN APRN
10929 OLD HIGHWAY 71
FORT SMITH, AR 72916-8160
Phone number: 479-250-1562
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Mailing Address
CHASITY RENAE SULLIVAN APRN
3524 ROYAL SCOTS WAY
FORT SMITH, AR 72908-9332
Phone number: 918-577-1003
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