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Individual

DR. MARY ANN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
101256883
VA
207W00000X
Ophthalmology Physician
Primary
202020
CA
208D00000X
General Practice Physician
0101256883
VA

Other

Enumeration date
06/24/2013
Last updated
04/03/2025
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