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1982905105
KYLE ROBERT SULLIVAN
KENNEWICK, WA
NPI
1982905105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
-- KYLE ROBERT SULLIVAN
2635 W DESCHUTES AVE
KENNEWICK, WA 99336-3004
Phone number: 509-783-0500
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Mailing Address
-- KYLE ROBERT SULLIVAN
4703 SHORELINE CT
PASCO, WA 99301-9091
Phone number: 509-545-4312
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