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Mary Sullivan, STNA
NPI 1043992738 · on the registry since 2023 · sole proprietor
Practice
- Address
- 112 Stallion Dr
Lake Waynoka, OH 45171 - Phone
- (937) 779-2182
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio