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1003040858
MICHELLE YVETTE SULLIVAN
PASADENA, CA
NPI
1003040858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA PT27523)
Enumeration Date
2009-05-08
Last Update Date
2009-05-08
Business Address
Dr. MICHELLE YVETTE SULLIVAN DPT
288 ATCHISON ST
PASADENA, CA 91104-1002
Phone number: 626-798-4050
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Mailing Address
Dr. MICHELLE YVETTE SULLIVAN DPT
288 ATCHISON ST
PASADENA, CA 91104-1002
Phone number: 626-798-4050
Copy
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