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1104311976
LAUREN RODDY SULLIVAN
RALEIGH, NC
NPI
1104311976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131-001982)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
Mrs. LAUREN RODDY SULLIVAN COTA/L
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-5080
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Mailing Address
Mrs. LAUREN RODDY SULLIVAN COTA/L
9184 BEAVERDAM TRL
MECHANICSVILLE, VA 23116-3913
Phone number: 870-761-5991
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