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Individual

JAMES J. MULLONEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, CNP

Contact information

Practice address
3333 BURNET AVE, ML 2004, CINCINNATI, OH 45229-3026
(513) 636-4770
(513) 636-3847
Mailing address
3333 BURNET AVE, ML 2004, CINCINNATI, OH 45229-3026
(513) 636-4770
(513) 636-3847

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
184304
OH
363LF0000X
Family Nurse Practitioner
184304
OH

Other

Enumeration date
09/26/2005
Last updated
01/15/2013
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