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1881600054
MILISSA LYNN SULLIVAN
DRY RIDGE, KY
NPI
1881600054
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Former Name
MILISSA PELFREY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R0951)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Mrs. MILISSA LYNN SULLIVAN OTRL
118 S MAIN ST
DRY RIDGE, KY 41035
Phone number: 859-824-7007
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Mailing Address
Mrs. MILISSA LYNN SULLIVAN OTRL
PO BOX 911148
LEXINGTON, KY 40591-1148
Phone number: 859-278-2121
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