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1235551953
JOHN L SULLIVAN
SEATTLE, WA
NPI
1235551953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P3 60394421)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
JOHN L SULLIVAN PTA
6720 E GREEN LAKE WAY N
SEATTLE, WA 98103-5439
Phone number: 206-525-9666
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Mailing Address
JOHN L SULLIVAN PTA
6720 E GREEN LAKE WAY N
SEATTLE, WA 98103-5439
Phone number: 206-525-9666
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