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1598044810
HEATHER DENISE SULLIVAN
FAIRBANKS, AK
NPI
1598044810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK 343)
Enumeration Date
2011-08-04
Last Update Date
2013-10-08
Business Address
-- HEATHER DENISE SULLIVAN CCC-SLP
1327 KALAKAKET ST
FAIRBANKS, AK 99709-4917
Phone number: 907-452-4517
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Mailing Address
-- HEATHER DENISE SULLIVAN CCC-SLP
1327 KALAKAKET ST
FAIRBANKS, AK 99709-4917
Phone number: 907-452-4517
Copy
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