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Individual

DEBRA ANN SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
3065 FREEPORT BLVD, SACRAMENTO, CA 95818-4347
(916) 391-3057
(916) 552-7940
Mailing address
2 SPRINGBROOK CIR, SACRAMENTO, CA 95831-2114
(916) 391-3057
(916) 552-7940

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
06S0147790
CA

Other

Enumeration date
07/08/2008
Last updated
07/08/2008
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