DIANE SULLIVAN

WATERTOWN, NY
NPI1932486776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  263833-1)
Enumeration Date2011-11-08
Last Update Date2011-11-08
Business Address
-- DIANE SULLIVAN
24304 PERCH LAKE RD
WATERTOWN, NY 13601-5268
Phone number: 315-788-1887
Mailing Address
-- DIANE SULLIVAN
24304 PERCH LAKE RD
WATERTOWN, NY 13601-5268
Phone number: 315-788-1887
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