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1104045137
DOUGLAS E SULLIVAN
RENTON, WA
NPI
1104045137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH00034393)
Enumeration Date
2007-04-25
Last Update Date
2009-09-09
Business Address
Dr. DOUGLAS E SULLIVAN DC
304 MAIN AVE S 203
RENTON, WA 98057-2758
Phone number: 206-683-2995
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Mailing Address
Dr. DOUGLAS E SULLIVAN DC
304 MAIN AVE S 203
RENTON, WA 98057-2758
Phone number: 206-683-2995
Copy
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