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1205260635
RYAN JAMES SULLIVAN
SYLMAR, CA
NPI
1205260635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF82837)
Enumeration Date
2013-08-21
Last Update Date
2014-11-03
Business Address
-- RYAN JAMES SULLIVAN
11600 ELDRIDGE AVE
SYLMAR, CA 91342-6506
Phone number: 818-686-3179
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Mailing Address
-- RYAN JAMES SULLIVAN
11600 ELDRIDGE AVE
SYLMAR, CA 91342-6506
Phone number: 818-686-3179
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