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Individual

SCOTT MULLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., ATC, LAT

Contact information

Practice address
7677 YANKEE STREET, SUITE 10, DAYTON, OH 45459
(937) 401-6400
Mailing address
7677 YANKEE STREET, SUITE 10, DAYTON, OH 45459
(937) 401-6400

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003201
OH

Other

Enumeration date
11/23/2011
Last updated
11/23/2011
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