Individual
MIRANDA R MULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2200 SW GAGE BLVD BLDG 2, TOPEKA, KS 66622-0002
(785) 350-3111
Mailing address
2200 SW GAGE BLVD BLDG 2, TOPEKA, KS 66622-0002
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-30702
KS
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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