Individual
AMANDA LYNN MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 1/2 SOUTHWEST 1ST STREET, AFTON, OK 74331-0712
(918) 244-2143
Mailing address
PO BOX 712, AFTON, OK 74331-0712
(918) 244-2143
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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