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1912658600
CRYSTAL SULLIVAN
ASHLAND, KY
NPI
1912658600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3017226)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
CRYSTAL SULLIVAN APRN
2201 LEXINGTON AVE
ASHLAND, KY 41101-2843
Phone number: 606-408-4000
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Mailing Address
CRYSTAL SULLIVAN APRN
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number:
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