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1063092633
EDWARD BRADDOCK SULLIVAN
OLYMPIA, WA
NPI
1063092633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
EDWARD BRADDOCK SULLIVAN
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 360-704-7170
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Mailing Address
EDWARD BRADDOCK SULLIVAN
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 253-312-9057
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