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Individual

DR. TERESA ANNE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
32993 S 69 HWY, BIG CABIN, OK 74332
(918) 783-5000
(918) 783-5005
Mailing address
PO BOX 183, 32993 S 69 HWY, BIG CABIN, OK 74332-0183
(918) 783-5000
(918) 783-5005

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
#3179
OK

Other

Enumeration date
01/31/2007
Last updated
09/03/2009
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