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Individual
JEREMY MULLAVEY
Active
Individual
JEREMY MULLAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
AP61577243
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP61577243
WA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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