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1700014065
LISA HADELER SULLIVAN
HAZLET, NJ
NPI
1700014065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00616700)
Enumeration Date
2009-06-25
Last Update Date
2009-08-23
Business Address
Mrs. LISA HADELER SULLIVAN P.T.
1420 HWY 36
HAZLET, NJ 07730-1736
Phone number: 732-335-0398
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Mailing Address
Mrs. LISA HADELER SULLIVAN P.T.
94 GARDEN RD
SHREWSBURY, NJ 07702-4474
Phone number: 732-212-0601
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