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1033815261
BENJAMIN SULLIVAN
LORAIN, OH
NPI
1033815261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
BENJAMIN SULLIVAN
6140 S BROADWAY
LORAIN, OH 44053-3891
Phone number: 440-233-7232
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Mailing Address
BENJAMIN SULLIVAN
126 WARWICK CT
ELYRIA, OH 44035-4667
Phone number: 440-412-6142
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