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Individual
DR. MARY ANN SULLIVAN
Active
Individual
DR. MARY ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH29087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11784
SFGH INTERNAL USE ONLY
—
Enumeration date
06/08/2007
Last updated
07/16/2007
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