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1952188047
CARLY MICHELLE SULLIVAN
CHARLESTON, SC
NPI
1952188047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351948)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
CARLY MICHELLE SULLIVAN FNP
218 HOWLE AVE
CHARLESTON, SC 29412-2449
Phone number: 854-444-0518
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Mailing Address
CARLY MICHELLE SULLIVAN FNP
33 N JEFFERSON ST
CARTHAGE, NY 13619-1131
Phone number: 315-771-5266
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