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1558820290
JENNIFER SULLIVAN
LAKELAND, FL
NPI
1558820290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4073)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
JENNIFER SULLIVAN LAT, ATC
6799 KRENSON OAKS CIR
LAKELAND, FL 33810-2157
Phone number: 727-804-9102
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Mailing Address
JENNIFER SULLIVAN LAT, ATC
6799 KRENSON OAKS CIR
LAKELAND, FL 33810-2157
Phone number:
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