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1861676942
MARY ELLEN SULLIVAN
COLUMBIA, SC
NPI
1861676942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: SC 3428)
Enumeration Date
2007-12-25
Last Update Date
2022-11-09
Business Address
Mrs. MARY ELLEN SULLIVAN GNP-BC
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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Mailing Address
Mrs. MARY ELLEN SULLIVAN GNP-BC
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Copy
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