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1639206444
BURTON HENRY SULLIVAN
TAMPA, FL
NPI
1639206444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 1991)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. BURTON HENRY SULLIVAN SLP
11332 CLAYRIDGE DR
TAMPA, FL 33635-1558
Phone number: 813-818-0910
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Mailing Address
Mr. BURTON HENRY SULLIVAN SLP
11332 CLAYRIDGE DR
TAMPA, FL 33635-1558
Phone number: 813-818-0910
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