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1336405190
RACHEL E SULLIVAN
SALT LAKE CITY, UT
NPI
1336405190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-05
Last Update Date
2012-04-05
Business Address
-- RACHEL E SULLIVAN RPSGT, CNA
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- RACHEL E SULLIVAN RPSGT, CNA
PO BOX 520481
SALT LAKE CITY, UT 84152-0481
Phone number: 801-502-9256
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