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1184183550
LISA SULLIVAN
ALBANY, GA
NPI
1184183550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
LISA SULLIVAN ST
113 CONSTITUTION CT APT A
ALBANY, GA 31721-2150
Phone number: 229-364-5501
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Mailing Address
LISA SULLIVAN ST
113 CONSTITUTION CT APT A
ALBANY, GA 31721-2150
Phone number: 229-364-5501
Copy
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