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1790388981
JACK SULLIVAN
SENECA, SC
NPI
1790388981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
JACK SULLIVAN
12023 N RADIO STATION RD STE A
SENECA, SC 29678-1143
Phone number: 864-985-0770
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Mailing Address
JACK SULLIVAN
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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