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1386012573
BRIANNE CARMELA RUSS SULLIVAN
FORT EISENHOWER, GA
NPI
1386012573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 006016)
Enumeration Date
2015-09-04
Last Update Date
2025-01-22
Business Address
BRIANNE CARMELA RUSS SULLIVAN OTR/L
300 E HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Phone number: 706-787-8776
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Mailing Address
BRIANNE CARMELA RUSS SULLIVAN OTR/L
300 E HOSPITAL ROAD
FT EISENHOWER, GA 30905
Phone number:
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