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1821317603
RICHARD MICHAEL SULLIVAN
BELLEVUE, WA
NPI
1821317603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160068768)
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
-- RICHARD MICHAEL SULLIVAN PTA
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255
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Mailing Address
-- RICHARD MICHAEL SULLIVAN PTA
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255
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