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Individual

JOHN PAUL MULLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 712-4301
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4385
OK
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/25/2007
Last updated
02/02/2016
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