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1417428590
PATRICK RYAN SULLIVAN
SUMTER, SC
NPI
1417428590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC PT.9444)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
PATRICK RYAN SULLIVAN
75 W WESMARK BLVD
SUMTER, SC 29150-1955
Phone number: 803-938-5395
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Mailing Address
PATRICK RYAN SULLIVAN
141 ATRIUM WAY
COLUMBIA, SC 29223-6301
Phone number: 803-788-8484
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