KERMIT C SULLIVAN

NAMPA, ID
NPI1124157185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-182)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Mr. KERMIT C SULLIVAN ATC
1303 E GREENHURST RD
NAMPA, ID 83686-7216
Phone number: 208-468-7820
Mailing Address
Mr. KERMIT C SULLIVAN ATC
231 N TURTLE DOVE WAY
NAMPA, ID 83651-8363
Phone number: 208-442-4354
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