MR. Elizabeth Anne Sullivan

NPI #1518378967 in Durant, Oklahoma

Provider Information

NPI Number: 1518378967
Entity Type: Individual
Name: MR. Elizabeth Anne Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 19, 2014
Last Updated: May 19, 2014

Practice Location

Address: 615 N 4TH AVE
City: Durant
State: Oklahoma
ZIP Code: 74701-3907
Phone: (580) 775-3083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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