George Matthew Mustin

NPI #1477314052 in North Bend, Oregon

Provider Information

NPI Number: 1477314052
Entity Type: Individual
Name: George Matthew Mustin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 19, 2024
Last Updated: Jan 19, 2024

Practice Location

Address: 1890 WAITE ST STE 1
City: North Bend
State: Oregon
ZIP Code: 97459-1229
Phone: (541) 756-6232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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