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1326781428
JALEN SULLIVAN
OAKLAND, CA
NPI
1326781428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-16
Last Update Date
2022-04-16
Business Address
JALEN SULLIVAN
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 800-671-6377
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Mailing Address
JALEN SULLIVAN
18 E PROVIDENCE RD
YEADON, PA 19050-2843
Phone number: 267-736-0660
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