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1528261013
JACK F SULLIVAN
LA MESA, CA
NPI
1528261013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 49227)
Enumeration Date
2007-06-11
Last Update Date
2011-11-19
Business Address
-- JACK F SULLIVAN MA, MFT
8058 LA MESA BLVD.
LA MESA, CA 91942-0335
Phone number: 619-507-8270
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Mailing Address
-- JACK F SULLIVAN MA, MFT
8058 LA MESA BLVD.
LA MESA, CA 91942
Phone number: 619-507-8270
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