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Individual

CATHY MCMULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1914 W KING ST, QUINCY, FL 32351-2054
(850) 294-5713
Mailing address
1914 W KING ST, QUINCY, FL 32351-2054
(850) 294-5713

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37440000X
FL
Enumeration date
06/10/2022
Last updated
06/10/2022
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