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1598936908
LEANN SULLIVAN
NAMPA, ID
NPI
1598936908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: ID 8078924)
Enumeration Date
2008-03-13
Last Update Date
2008-03-13
Business Address
LEANN SULLIVAN
16077 N GLACIER PEAK DR
NAMPA, ID 83651-8723
Phone number: 208-466-0868
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Mailing Address
LEANN SULLIVAN
16077 N GLACIER PEAK DR
NAMPA, ID 83651-8723
Phone number: 208-466-0868
Copy
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