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1811475585
DOMINIQUE LAMERE SULLIVAN
FLINT, MI
NPI
1811475585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-03
Last Update Date
2018-08-03
Business Address
DOMINIQUE LAMERE SULLIVAN
2284 S BALLENGER HWY
FLINT, MI 48503-3446
Phone number: 810-221-7871
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Mailing Address
DOMINIQUE LAMERE SULLIVAN
6342 STONEGATE PKWY
FLINT, MI 48532-2152
Phone number: 810-399-3609
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