Individual
JANET LEA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10219 E 2ND ST, TULSA, OK 74128-1205
(918) 704-4064
Mailing address
10219 E 2ND ST, TULSA, OK 74128-1205
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
OK
372600000X
Adult Companion
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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