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1447210505
STEVE EDWARD SULLIVAN
FORT WAYNE, IN
NPI
1447210505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05006484A)
Enumeration Date
2006-03-24
Last Update Date
2021-02-25
Business Address
STEVE EDWARD SULLIVAN DPT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
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Mailing Address
STEVE EDWARD SULLIVAN DPT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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