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1386487908
SANDRA JANE SULLIVAN
MEDFORD, OR
NPI
1386487908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10244577)
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
SANDRA JANE SULLIVAN
3552 LONE PINE RD
MEDFORD, OR 97504-5637
Phone number: 541-613-3400
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Mailing Address
SANDRA JANE SULLIVAN
3552 LONE PINE RD
MEDFORD, OR 97504-5637
Phone number: 541-613-3400
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