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1902853104
TARA MARIE SULLIVAN
STANFORD, CA
NPI
1902853104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A81855)
Enumeration Date
2006-05-31
Last Update Date
2024-04-12
Business Address
TARA MARIE SULLIVAN MD
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000
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Mailing Address
TARA MARIE SULLIVAN MD
5530 BIRDCAGE ST STE 145
CITRUS HEIGHTS, CA 95610-7621
Phone number: 209-956-7725
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