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1629637681
JAKE SULLIVAN
OWENSBORO, KY
NPI
1629637681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-06-12
Last Update Date
2019-06-13
Business Address
JAKE SULLIVAN PT
2831 NEW HARTFORD RD
OWENSBORO, KY 42303-1320
Phone number: 270-926-4100
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Mailing Address
JAKE SULLIVAN PT
2831 NEW HARTFORD RD
OWENSBORO, KY 42303-1320
Phone number: 270-926-4100
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