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1114151131
KIRSTIN KJORDIS SULLIVAN
SEATTLE, WA
NPI
1114151131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: WA MA6007028)
Enumeration Date
2009-05-05
Last Update Date
2009-05-05
Business Address
-- KIRSTIN KJORDIS SULLIVAN LMT
7735 1ST AVE NE
SEATTLE, WA 98115-4003
Phone number: 206-910-9778
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Mailing Address
-- KIRSTIN KJORDIS SULLIVAN LMT
7735 1ST AVE NE
SEATTLE, WA 98115-4003
Phone number: 206-910-9778
Copy
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