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1942438064
MARSHALL SULLIVAN
SAN ANTONIO, TX
NPI
1942438064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2070353)
Enumeration Date
2009-06-26
Last Update Date
2009-06-26
Business Address
-- MARSHALL SULLIVAN
346 SPRUCEWOOD LN
SAN ANTONIO, TX 78216-6414
Phone number: 210-737-4291
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Mailing Address
-- MARSHALL SULLIVAN
346 SPRUCEWOOD LN
SAN ANTONIO, TX 78216-6414
Phone number: 210-737-4291
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