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1982396586
AJA BLUE SULLIVAN
SAINT LOUIS, MO
NPI
1982396586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2014017173)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
Prof. AJA BLUE SULLIVAN RN
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-749-7088
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Mailing Address
Prof. AJA BLUE SULLIVAN RN
4483 DUNCAN AVE
SAINT LOUIS, MO 63110-1111
Phone number: 314-749-7088
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