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1003652983
MAKENNA SULLIVAN
SAN DIEGO, CA
NPI
1003652983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
MAKENNA SULLIVAN
3900 LOMALAND DR
SAN DIEGO, CA 92106-2810
Phone number: 619-494-9813
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Mailing Address
MAKENNA SULLIVAN
3900 LOMALAND DR
SAN DIEGO, CA 92106-2810
Phone number: 619-494-9813
Copy
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