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1124382700
SUSAN M SULLIVAN
WILLIAMSVILLE, NY
NPI
1124382700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 010290-1)
Enumeration Date
2012-06-28
Last Update Date
2015-01-09
Business Address
-- SUSAN M SULLIVAN L.M.T.
8655 MAIN ST
WILLIAMSVILLE, NY 14221-7501
Phone number: 716-807-5228
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Mailing Address
-- SUSAN M SULLIVAN L.M.T.
8655 MAIN ST
WILLIAMSVILLE, NY 14221-7501
Phone number: 716-807-5228
Copy
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