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Individual

JUSTIN JOHN MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1301 PUNCHBOWL ST, FTC, HONOLULU, HI 96813-2402
(808) 585-5428
(808) 537-7896
Mailing address
1301 PUNCHBOWL ST, FTC, HONOLULU, HI 96813-2402
(808) 585-5428
(808) 537-7896

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT422
HI

Other

Enumeration date
09/24/2008
Last updated
09/24/2008
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