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Individual
JOSEPH BRADLEY MULLIGAN
Active
Individual
JOSEPH BRADLEY MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111891
KY
156FX1800X
Optician
CLD8386
CA
156FX1800X
Optician
SLD41354
CA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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