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1952036394
JOHANNA SULLIVAN
NORTH HAVEN, CT
NPI
1952036394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2022-07-20
Last Update Date
2023-04-28
Business Address
JOHANNA SULLIVAN PA
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 917-435-0238
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Mailing Address
JOHANNA SULLIVAN PA
370 BASSETT RD
NORTH HAVEN, CT 06473-4201
Phone number: 917-435-0238
Copy
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