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Individual

MRS. MARIA ELVIRA MULLIKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
214 EAST 23RD, CHEYENNE, WY 82001
(307) 633-6191
(307) 631-7469
Mailing address
P.O. BOX 20994, CHEYENNE, WY 82003
(307) 633-6191
(307) 631-7469

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24884.1127
WY

Other

Enumeration date
12/29/2011
Last updated
05/12/2014
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