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1972134567
SCOTT R SULLIVAN
DALLAS, TX
NPI
1972134567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-02-01
Last Update Date
2020-02-01
Business Address
SCOTT R SULLIVAN
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 316-616-8157
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Mailing Address
SCOTT R SULLIVAN
4821 HORTON ST
MISSION, KS 66202-1758
Phone number: 316-616-8157
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