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1700365194
SHANNA LINEA SULLIVAN
ISSAQUAH, WA
NPI
1700365194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61127328)
Enumeration Date
2018-08-07
Last Update Date
2021-04-29
Business Address
SHANNA LINEA SULLIVAN PT,DPT
730 NW GILMAN BLVD STE C108
ISSAQUAH, WA 98027-5326
Phone number: 425-391-6794
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Mailing Address
SHANNA LINEA SULLIVAN PT,DPT
730 NW GILMAN BLVD STE C108
ISSAQUAH, WA 98027-5326
Phone number: 425-391-6794
Copy
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