MICHAEL SULLIVAN

BEND, OR
NPI1376243402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C6081)
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
MICHAEL SULLIVAN
19213 MT SHASTA DR
BEND, OR 97703-3050
Phone number: 802-595-9090
Mailing Address
MICHAEL SULLIVAN
19213 MT SHASTA DR
BEND, OR 97703-3050
Phone number:
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