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1144221342
SHAUN M SULLIVAN
BAY CITY, MI
NPI
1144221342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501003708)
Enumeration Date
2005-08-10
Last Update Date
2011-04-21
Business Address
-- SHAUN M SULLIVAN PT
2618 CENTER AVE
BAY CITY, MI 48708-6300
Phone number: 989-892-4557
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Mailing Address
-- SHAUN M SULLIVAN PT
2618 CENTER AVE
BAY CITY, MI 48708-6300
Phone number: 989-892-4557
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