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Individual

MARYCATHERINE E. MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
2216 E SERGEANT ST, PHILADELPHIA, PA 19125-2218
(215) 530-4690
Mailing address
2216 E SERGEANT ST, PHILADELPHIA, PA 19125-2218
(215) 530-4690

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010168
PA

Other

Enumeration date
01/23/2009
Last updated
01/23/2009
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