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Individual

MRS. COURTNEY LYNNE MULVANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8883
(614) 566-8149
Mailing address
734 OGLETHORPE, COLUMBUS, OH 43228-9053
(513) 532-9880

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003672
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076431
OH
Enumeration date
08/29/2012
Last updated
01/25/2022
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