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1366952319
KAILYN SULLIVAN
DALTON, GA
NPI
1366952319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 0003537)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
KAILYN SULLIVAN PTA
1200 MEMORIAL DR
DALTON, GA 30720-2529
Phone number: 706-272-6199
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Mailing Address
KAILYN SULLIVAN PTA
314 MCBRIEN RD APT A41
CHATTANOOGA, TN 37411-4825
Phone number:
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