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1073106050
JANET DIANE SULLIVAN
CEDAR PARK, TX
NPI
1073106050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 205168)
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
JANET DIANE SULLIVAN
3405 EL SALIDO PKWY
CEDAR PARK, TX 78613-5640
Phone number: 512-402-5040
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Mailing Address
JANET DIANE SULLIVAN
2509 CLAUDIA DR
LEANDER, TX 78641-3076
Phone number: 505-377-6339
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