Individual
JILL MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
607 MAIN ST, BROWNSVILLE, MN 55919-5001
(507) 458-0604
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
38957
MN
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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