Individual
MRS. LAURA MAGOS MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-4030
(904) 381-9808
Mailing address
329 FORT MILTON DR, JACKSONVILLE, FL 32220-3725
(904) 783-4186
(904) 783-4186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9168602
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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