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1336805464
SULLIVAN DOUGHTY
LIMA, OH
NPI
1336805464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-12
Last Update Date
2021-11-12
Business Address
SULLIVAN DOUGHTY
924 N CABLE RD
LIMA, OH 45805-1704
Phone number: 419-969-3125
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Mailing Address
SULLIVAN DOUGHTY
4214 E MAIN ST
WHITEHALL, OH 43213-3028
Phone number:
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