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1063636819
JOHN EDWIN SULLIVAN
SAN FRANCISCO, CA
NPI
1063636819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-04-12
Last Update Date
2023-05-22
Business Address
Mr. JOHN EDWIN SULLIVAN
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 916-613-1246
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Mailing Address
Mr. JOHN EDWIN SULLIVAN
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 916-613-1246
Copy
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