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1902566920
LORI SULLIVAN
PALM BAY, FL
NPI
1902566920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL F09210413)
Enumeration Date
2021-12-20
Last Update Date
2022-01-08
Business Address
LORI SULLIVAN APRN
458 TREEMONT AVE SW
PALM BAY, FL 32908-3535
Phone number: 386-871-1726
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Mailing Address
LORI SULLIVAN APRN
458 TREEMONT AVE SW
PALM BAY, FL 32908-3535
Phone number: 386-871-1726
Copy
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