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1861009201
MAKENNA SULLIVAN
BOWLING GREEN, KY
NPI
1861009201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 266361)
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
MAKENNA SULLIVAN OTR/L
5079 SCOTTSVILLE RD
BOWLING GREEN, KY 42104-7897
Phone number: 270-782-1125
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Mailing Address
MAKENNA SULLIVAN OTR/L
2075 GREATHOUSE RD
BOWLING GREEN, KY 42103-9079
Phone number: 763-370-0190
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