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1902404023
SARA LYNN SULLIVAN
FORT WAYNE, IN
NPI
1902404023
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Former Name
SARA LYNN CAMPOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004287A)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
SARA LYNN SULLIVAN
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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Mailing Address
SARA LYNN SULLIVAN
109 WASHINGTON ST
AUBURN, IN 46706-1238
Phone number: 260-416-2216
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