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1891957759
KIM LEANN SULLIVAN
FAYETTEVILLE, AR
NPI
1891957759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: AR 0752)
Enumeration Date
2008-07-01
Last Update Date
2008-07-01
Business Address
-- KIM LEANN SULLIVAN RDH
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
-- KIM LEANN SULLIVAN RDH
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
Copy
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