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1841411048
JEFF ALLEN SULLIVAN
SAN DIEGO, CA
NPI
1841411048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. JEFF ALLEN SULLIVAN Ph.D., ATC
3900 LOMALAND DRIVE POINT LOMA NAZARENE UNIVERSITY
SAN DIEGO, CA 92106
Phone number: 619-849-2629
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Mailing Address
Dr. JEFF ALLEN SULLIVAN Ph.D., ATC
1404 BELMONT PLACE
CHULA VISTA, CA 91913
Phone number: 619-849-2629
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