Individual
MRS. DAWN MARIE SULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1210 JONES DR, FREMONT, NE 68025-2120
(402) 201-2215
Mailing address
1210 JONES DR, FREMONT, NE 68025-2120
(402) 201-2215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19256
NE
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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