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1043616345
RYAN SULLIVAN
SPRINGFIELD, TN
NPI
1043616345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2472)
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
RYAN SULLIVAN
3131 TOM AUSTIN HWY
SPRINGFIELD, TN 37172-4801
Phone number: 615-382-7979
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Mailing Address
RYAN SULLIVAN
201 CROSBY DR
DICKSON, TN 37055-1016
Phone number:
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