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1619514239
SHANNON MICHELLE SULLIVAN
LOS ANGELES, CA
NPI
1619514239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-12-02
Last Update Date
2019-12-20
Business Address
SHANNON MICHELLE SULLIVAN
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1355
Phone number: 626-254-5000
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Mailing Address
SHANNON MICHELLE SULLIVAN
3561 E 6TH ST
LOS ANGELES, CA 90023-1711
Phone number: 413-386-5500
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