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1902685530
LAUREN B SULLIVAN
COLUMBUS, MS
NPI
1902685530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS 906275)
Enumeration Date
2023-09-25
Last Update Date
2024-02-08
Business Address
LAUREN B SULLIVAN
230 AIRLINE RD
COLUMBUS, MS 39702-6348
Phone number: 662-570-3208
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Mailing Address
LAUREN B SULLIVAN
149 DOVE WHITAKER RD
CALEDONIA, MS 39740-9757
Phone number: 662-570-3208
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