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Mr. Elizabeth Anne Sullivan
Student in an Organized Health Care Education/Training Program in Durant, Oklahoma
NPI 1518378967

Elizabeth Anne Sullivan is a Student in an Organized Health Care Education/Training Program based in Durant, OK. Elizabeth Anne Sullivan practices in Durant, OK. The NPI Number for Elizabeth Anne Sullivan is 1518378967 and holds a License No. NEW (Oklahoma).

The current practice location address for Elizabeth Anne Sullivan is 615 N 4Th Ave, Durant, OK and can be reached out via phone at 580-775-3083.

Location: 615 N 4Th Ave, Durant, OK, 74701-3907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518378967
Provider Name
Elizabeth Anne Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
615 N 4Th Ave, Durant, OK, 74701-3907
Phone Number
580-775-3083
Fax Number
Provider Enumeration Date
05/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
615 N 4Th Ave
City
Durant
State
Oklahoma
Zip
74701-3907
Phone Number
580-775-3083
Fax Number
person
Provider Business Mailing Address Details
Address
615 N 4Th Ave
City
Durant
State
Oklahoma
Zip
74701-3907
Phone Number
580-775-3083
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
NEW (Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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