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1295395853
SHANNON SULLIVAN
AURORA, CO
NPI
1295395853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CO 20196000263)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
SHANNON SULLIVAN
14095 E EXPOSITION AVE
AURORA, CO 80012-2522
Phone number: 303-309-3647
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Mailing Address
SHANNON SULLIVAN
14095 E EXPOSITION AVE
AURORA, CO 80012-2522
Phone number: 303-309-3647
Copy
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