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1437153772
THEODORE K. SULLIVAN
WASHINGTON, MO
NPI
1437153772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO T02915)
Enumeration Date
2005-06-01
Last Update Date
2017-10-26
Business Address
THEODORE K. SULLIVAN O.D.
3071 PHOENIX CENTER DR
WASHINGTON, MO 63090-5690
Phone number: 636-777-2345
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Mailing Address
THEODORE K. SULLIVAN O.D.
15933 CLAYTON RD STE 201
BALLWIN, MO 63011-2172
Phone number: 636-200-4393
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