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1780252239
JACK SULLIVAN LEHKER
COLUMBIA, SC
NPI
1780252239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
JACK SULLIVAN LEHKER ATC
1300 WHEAT ST
COLUMBIA, SC 29208-0001
Phone number: 803-777-5261
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Mailing Address
JACK SULLIVAN LEHKER ATC
1522 COLLEGEWOOD ST
YPSILANTI, MI 48197-2023
Phone number:
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