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Glen S O'Sullivan
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NPI Number Detailed Information
Provider Information:
Name: | Glen S O'Sullivan |
Gender: | M |
Provider License Number If Given: | A44219 |
NPI Information:
NPI: | 1972504652 |
Entity Type(Individual or Organization): | 1-ind |
Enumeration Date: | 8/3/2005 |
Last Update Date: | 11/23/2010 |
Provider Business Mailing Address:
Address: | 635 LASSEN LN Mount Shasta, CA 96067 |
Phone Number: | 8666683597 |
Fax Number: | 8663016641 |
Provider Business Practice Location Address:
Address: | 635 LASSEN LN Mount Shasta, CA 96067 |
Phone Number: | 8666683597 |
Fax Number: | 8663016641 |
Provider Taxonomy:
Primary: | 174400000X |
Secondary (if any): | |
State: | CA |
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About Glen S O'Sullivan
Glen S O'Sullivan ( GLEN S O'SULLIVAN ) is An Specialist Physician in Mount Shasta, CA.
The NPI Number for Glen S O'Sullivan is 1972504652.
The current location address for Glen S O'Sullivan is 635 LASSEN LN Mount Shasta, CA 96067 and the contact number is 8666683597 and fax number is 8663016641.
The mailing address for Glen S O'Sullivan is 635 LASSEN LN Mount Shasta, CA 96067- 8666683597 (mailing address contact number - 8666683597).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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FAQs:
What is the NPI Number for Glen S O'Sullivan ?
Answer: The NPI Number for Glen S O'Sullivan is 1972504652
Where is Glen S O'Sullivan located?
Answer: Glen S O'Sullivan is located at 635 LASSEN LN Mount Shasta, CA 96067.
What is the specialty for Glen S O'Sullivan ?
Answer: The Specialty of Glen S O'Sullivan is An Specialist Physician.
Are there any online reviews for Glen S O'Sullivan ?
Answer: Not yet!
Are there any other health care providers in Mount Shasta, CA?
Answer: Yes, there are given below...
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