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1144579418
LISA SULLIVAN
MISSION VIEJO, CA
NPI
1144579418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA OTA2143)
Enumeration Date
2012-09-02
Last Update Date
2012-09-02
Business Address
LISA SULLIVAN
252 CALIFORNIA CT
MISSION VIEJO, CA 92692-4098
Phone number: 949-697-9228
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Mailing Address
LISA SULLIVAN
252 CALIFORNIA CT
MISSION VIEJO, CA 92692-4098
Phone number: 949-697-9228
Copy
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