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1942900063
ELLEN DAWN SULLIVAN
LITTLE ROCK, AR
NPI
1942900063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
ELLEN DAWN SULLIVAN
12320 INTERSTATE 30
LITTLE ROCK, AR 72210-7027
Phone number: 501-658-6010
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Mailing Address
ELLEN DAWN SULLIVAN
12320 INTERSTATE 30
LITTLE ROCK, AR 72210-7027
Phone number:
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