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1750856597
MICHAEL AUGUSTUS SULLIVAN
SEATTLE, WA
NPI
1750856597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-08
Last Update Date
2018-10-17
Business Address
MICHAEL AUGUSTUS SULLIVAN
2600 SW HOLDEN ST
SEATTLE, WA 98126-3505
Phone number: 206-779-1248
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Mailing Address
MICHAEL AUGUSTUS SULLIVAN
2600 SW HOLDEN ST
SEATTLE, WA 98126-3505
Phone number:
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