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1245478627
SHANNON SULLIVAN
COLUMBUS, GA
NPI
1245478627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
-- SHANNON SULLIVAN
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5583
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Mailing Address
-- SHANNON SULLIVAN
4601 NORTHGATE DR
COLUMBUS, GA 31907-1237
Phone number: 706-221-2524
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