Individual
QUENTIN ANTHONY MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
444 EARLY DR E, MIAMISBURG, OH 45342-3302
(937) 613-7724
Mailing address
444 EARLY DR E, MIAMISBURG, OH 45342-3302
(937) 613-7724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/21/2015
Last updated
06/02/2017
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