SAMUEL ALAN SULLIVAN

FORT WALTON BEACH, FL
NPI1295538106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-28
Last Update Date2025-03-28
Business Address
Mr. SAMUEL ALAN SULLIVAN
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number: 217-274-0529
Mailing Address
Mr. SAMUEL ALAN SULLIVAN
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number:
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