Individual
MARA O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-8715
Mailing address
1016 OAK RDG, SCHERTZ, TX 78154-1820
(719) 362-7662
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.139175
OH
Other
Enumeration date
03/20/2018
Last updated
03/23/2022
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