Owen Mullen, ST
NPI #1326199787 in Jackson, Mississippi
Provider Information
- NPI Number
- 1326199787
- Entity Type
- Individual
- Name
- Owen Mullen, ST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist
- Credential
- ST
- Enumeration Date
- Jan 14, 2007
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 1635 BOLING ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-4418
- Phone
- (601) 366-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist |
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