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Individual

KIRSTIN KJORDIS SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
7735 1ST AVE NE, SEATTLE, WA 98115-4003
(206) 910-9778
Mailing address
7735 1ST AVE NE, SEATTLE, WA 98115-4003
(206) 910-9778

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA6007028
WA

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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