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1477058436
RAIKESHA SULLIVAN
ROBERTSDALE, AL
NPI
1477058436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA6790)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
RAIKESHA SULLIVAN
18700 US HIGHWAY 90
ROBERTSDALE, AL 36567-3271
Phone number: 251-947-1911
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Mailing Address
RAIKESHA SULLIVAN
9930 WHIP POOR WILL DR
SEMMES, AL 36575-7026
Phone number: 251-623-9320
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