OWEN MULLEN, ST

Specialist/Technologist

Active Individual
NPI: 1326199787

Practice Address

1635 BOLING ST
Jackson, MS 39213

Phone: (601) 366-0123

Specialties

Specialty Code Primary License
Specialist/Technologist 235500000X Yes S2779 (MS)

Frequently Asked Questions

NPI 1326199787 is the National Provider Identifier for OWEN MULLEN, ST, a Specialist/Technologist provider located in Jackson, MS. This NPI was enumerated on January 14, 2007.
OWEN MULLEN, ST practices at 1635 BOLING ST, Jackson, MS 39213.

Quick Facts

NPI
1326199787
Type
Individual
Enumerated
Jan 14, 2007
Last Updated
Apr 2, 2008

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