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1124396163
WILLIAM JAMES SULLIVAN
TINLEY PARK, IL
NPI
1124396163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003196)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
Mr. WILLIAM JAMES SULLIVAN ATC
18660 GRAPHIC DR
TINLEY PARK, IL 60477-6257
Phone number: 708-686-1100
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Mailing Address
Mr. WILLIAM JAMES SULLIVAN ATC
517 E SOUTH ST
DURAND, IL 61024-9674
Phone number: 815-222-6285
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