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1609240795
MATTHEW WADE SULLIVAN
MARYVILLE, TN
NPI
1609240795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
-- MATTHEW WADE SULLIVAN DPT
2318 MARKET PLACE DR
MARYVILLE, TN 37801-8704
Phone number: 865-984-3141
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Mailing Address
-- MATTHEW WADE SULLIVAN DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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