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JEREMY MULLAVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
Mailing address
4308 E 41ST AVE, SPOKANE, WA 99223-1279

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
AP61577243
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP61577243
WA

Other

Enumeration date
07/05/2024
Last updated
07/05/2024
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