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Individual
DAVID ROLLAND SULLIVAN
Active
Individual
DAVID ROLLAND SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1288
MN
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
07/19/2019
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