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1265551634
DEIDRA L SULLIVAN
SALEM, MA
NPI
1265551634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 16451)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Miss DEIDRA L SULLIVAN DPT
57 HIGHLAND AVE
SALEM, MA 01970-2141
Phone number: 978-354-2746
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Mailing Address
Miss DEIDRA L SULLIVAN DPT
2 LONGBRANCH AVE
ROCKPORT, MA 01966-1115
Phone number: 978-546-9290
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