Mindy Sullivan

NPI #1255685111 in Provo, Utah

Provider Information

NPI Number: 1255685111
Entity Type: Individual
Name: Mindy Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 30, 2012
Last Updated: Oct 30, 2012

Practice Location

Address: 750 N 200 E
City: Provo
State: Utah
ZIP Code: 84606-1705
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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