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1750734992
KEVIN SULLIVAN
MCDONOUGH, GA
NPI
1750734992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002677)
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
-- KEVIN SULLIVAN MS, LAT, ATC
936 WYNN RD
MCDONOUGH, GA 30252-5802
Phone number: 404-314-4754
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Mailing Address
-- KEVIN SULLIVAN MS, LAT, ATC
936 WYNN RD
MCDONOUGH, GA 30252-5802
Phone number: 404-314-4754
Copy
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