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1063766368
JESSICA SULLIVAN
LOUISVILLE, KY
NPI
1063766368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001682A)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- JESSICA SULLIVAN
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
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Mailing Address
-- JESSICA SULLIVAN
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number:
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