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1063173961
KELLY ANNE SULLIVAN
SKOWHEGAN, ME
NPI
1063173961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA4728)
Enumeration Date
2022-01-04
Last Update Date
2023-07-03
Business Address
KELLY ANNE SULLIVAN
57 FAIRVIEW AVE
SKOWHEGAN, ME 04976-1414
Phone number: 207-474-7000
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Mailing Address
KELLY ANNE SULLIVAN
PO BOX 468
SKOWHEGAN, ME 04976-0468
Phone number: 207-474-7000
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