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Individual
CHRISTINE E SULLIVAN
Active
Individual
CHRISTINE E SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015636
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295460099
—
ME
05
—
30207981
—
NH
Enumeration date
07/07/2006
Last updated
11/01/2010
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