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Individual

ALYSIA MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
284 GREENBRIER STREET, RUPERT, WV 25984-2598
(304) 392-5138
Mailing address
PO BOX 556, RUPERT, WV 25984-0556

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/05/2022
Last updated
12/06/2022
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