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Organization
MULL FOUNDATION
Active
Organization
MULL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MULL MPA (AGENT)
(901) 314-8701
Entity
Organization
Contact information
Practice address
6796 BLUE LAKE LN, MEMPHIS, TN 38141-0582
(901) 314-8701
Mailing address
6796 BLUE LAKE LN, MEMPHIS, TN 38141-0582
(901) 314-8701
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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