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Individual

JULIE L MCMULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003710
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900C913660
BCBSM
MI
Enumeration date
12/12/2006
Last updated
05/17/2010
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