Individual
JASON MULHOLLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
602 S 42ND ST, MOUNT VERNON, IL 62864-6264
(618) 242-1100
(618) 244-5147
Mailing address
2885 COUNTY ROAD 214, CAPE GIRARDEAU, MO 63701-9009
(573) 335-5805
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2004030999
MO
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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