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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.

Provider Business Location on Map

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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Glen S O'Sullivan
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