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Individual
MICHAEL DENNIS QUINLIVAN
Active
Individual
MICHAEL DENNIS QUINLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP002499
SD
363L00000X
Nurse Practitioner
PENDING
IA
Other
Enumeration date
09/21/2020
Last updated
01/31/2023
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