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1871673723
MARK S SULLIVAN
FAIRFIELD, CA
NPI
1871673723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A49206)
Enumeration Date
2006-10-16
Last Update Date
2015-07-28
Business Address
Dr. MARK S SULLIVAN M.D.
1234 EMPIRE ST
FAIRFIELD, CA 94533-5711
Phone number: 707-426-3911
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Mailing Address
Dr. MARK S SULLIVAN M.D.
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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