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1730951161
LANCE D SULLIVAN
COLUMBUS, OH
NPI
1730951161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
LANCE D SULLIVAN
2323 LAKE CLUB DR STE 106
COLUMBUS, OH 43232-3101
Phone number: 614-439-0908
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Mailing Address
LANCE D SULLIVAN
2765 CLUB HOUSE DR
COLUMBUS, OH 43211-1715
Phone number: 614-439-0908
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