Individual
CAROLYN KAY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 PINE VIEW LN, AURORA, NE 68818-2500
(402) 631-7603
Mailing address
1721 PINE VIEW LN, AURORA, NE 68818-2500
(402) 631-7603
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
04502588
NE
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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