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1033438007
FRANCIS RYAN SULLIVAN
SPRINGFIELD, OR
NPI
1033438007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
-- FRANCIS RYAN SULLIVAN
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
-- FRANCIS RYAN SULLIVAN
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Copy
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