Individual
ERWIN MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 E MITCHELL ST, HUMBOLDT, TN 38343-3036
(662) 680-3148
(662) 620-9890
Mailing address
PO BOX 3667, TUPELO, MS 38803-3667
(662) 680-3148
(662) 620-9890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5749
TN
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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