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1982187142
JESSICA JANE SULLIVAN
NUTLEY, NJ
NPI
1982187142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00486200)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
Mrs. JESSICA JANE SULLIVAN PA-C
115 FRANKLIN AVE
NUTLEY, NJ 07110-2924
Phone number: 973-773-9250
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Mailing Address
Mrs. JESSICA JANE SULLIVAN PA-C
23 W PARKWAY
PEQUANNOCK, NJ 07440-1709
Phone number: 973-452-1290
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