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Individual

RACHEL HORN MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5379 FAIRWAY ST, JACKSON, MS 39211-4251
(276) 312-5429
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1649809476
MS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2020
Last updated
07/13/2020
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