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1952393514
MARK T SULLIVAN
BILLINGS, MT
NPI
1952393514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 205)
Enumeration Date
2005-08-19
Last Update Date
2008-04-29
Business Address
-- MARK T SULLIVAN PA-C
2900 12TH AVE N SUITE 140W
BILLINGS, MT 59101-7506
Phone number: 406-238-6540
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Mailing Address
-- MARK T SULLIVAN PA-C
2900 12TH AVE N SUITE 140W
BILLINGS, MT 59101-7506
Phone number: 406-238-6540
Copy
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