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Individual
LAURA MULLIN
Active
Individual
LAURA MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2435631
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
11873
MN
Other
Enumeration date
12/04/2023
Last updated
10/17/2024
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