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Individual

DR. ADELE MARIE O'SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11999 CHALON RD, LOS ANGELES, CA 90049-1524
(310) 889-2153
(310) 472-5982
Mailing address
11999 CHALON RD, LOS ANGELES, CA 90049-1524
(310) 889-2153
(310) 472-5982

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15677
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275299
AZ
Enumeration date
05/23/2006
Last updated
06/30/2020
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