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Individual

RALPH H MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
585 E 10TH ST, COOKEVILLE, TN 38501-1807
(931) 526-6711
(931) 526-6712
Mailing address
585 E 10TH ST, COOKEVILLE, TN 38501-1807
(931) 526-6711
(931) 526-6712

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN635
TN
152WC0802X
Corneal and Contact Management Optometrist
TN635
TN
152WX0102X
Occupational Vision Optometrist
TN635
TN

Other

Enumeration date
11/21/2005
Last updated
12/26/2012
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