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Individual

KIMBERLY SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
7860 GATE PKWY STE 105, JACKSONVILLE, FL 32256-7280
(904) 998-0444
Mailing address
7651 GATE PKWY APT 506, JACKSONVILLE, FL 32256-4802
(904) 998-0444

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 30055
FL

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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