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1962740969
BETHANY S. SULLIVAN
PRESTONSBURG, KY
NPI
1962740969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007834)
Enumeration Date
2013-01-25
Last Update Date
2017-08-16
Business Address
-- BETHANY S. SULLIVAN APRN
4851 KY ROUTE 321
PRESTONSBURG, KY 41653-9113
Phone number: 606-886-1173
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Mailing Address
-- BETHANY S. SULLIVAN APRN
PO BOX 697
PRESTONSBURG, KY 41653-0697
Phone number: 606-886-1173
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