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Individual

DEBRA LEE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 856-7470
Mailing address
10973 GARDNER RD, BURLINGTON, WA 98233-4712
(360) 757-2823

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN00142222
WA
163WM0705X
Medical-Surgical Registered Nurse
RN00142222
WA
163WX0200X
Oncology Registered Nurse
Primary
RN118758
AZ

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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