Individual
JESSICA PAIGE MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 UNIVERSITY PL, DURANT, OK 74701-7110
(580) 920-1145
Mailing address
302 UNIVERSITY PL, DURANT, OK 74701-7110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18006
OK
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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