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1851758106
GRANT SULLIVAN
BOWIE, MD
NPI
1851758106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 25301)
Enumeration Date
2016-01-18
Last Update Date
2023-10-27
Business Address
GRANT SULLIVAN
6842 RACE TRACK RD STE B
BOWIE, MD 20715-3011
Phone number: 240-544-0200
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Mailing Address
GRANT SULLIVAN
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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