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1033496179
SCOTT PATRIC SULLIVAN
LONGMONT, CO
NPI
1033496179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO 609)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
Mr. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
205 S MAIN ST SUITE C
LONGMONT, CO 80501-1716
Phone number: 303-684-9525
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Mailing Address
Mr. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
1520 RED MOUNTAIN DR
LONGMONT, CO 80504-2277
Phone number: 303-684-9525
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